Leano, Ma Cornelia Villavicencio

Leano, Ma Cornelia Villavicencio is an individual health care provider with primary practice located at 3081 Stone Carriage Cir Apt Z , Fayetteville NC 28304. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Adult Health, Physician Assistants & Advanced Practice Nursing Providers / Gerontology. Physician Assistants & Advanced Practice Nursing Providers / Gerontology is her primary health care specialty. Leano, Ma Cornelia Villavicencio can be contacted via phone (818) 675-0386.

Contact Information

Primary practice address
3081 Stone Carriage Cir Apt Z Fayetteville NC 28304
Phone: (818) 675-0386
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X LEAN-18CO92 North Carolina
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X LEAN-18CO92 North Carolina

Profile Details

NPI number 1780179580
LBN Legal business name Leano, Ma Cornelia Villavicencio
Credentials NURSE PRACTITIONER
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 25th, 2018
Last updated Jul 11th, 2018 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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