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NPI Code Detail

MEDICARE: ALEXANDRIA VILLARREAL

MEDICARE: ALEXANDRIA VILLARREAL
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LP0808XPsychiatric/Mental Health Nurse Practitioner241883AZ
2163WP0809XAdult Psychiatric/Mental Health Registered NurseRN241883AZ

General Provider Information

NPI Number : 1457963852
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALEXANDRIA VILLARREAL
Provider Business Mailing Address
First Line : 16028 N 74TH LN
Second Line :
City : PEORIA
State : AZ
Zip : 85382-1833
Country : US
Telephone Number : 602-363-5802
Fax Number :
Provider Business Practice Location Address
First Line : 2355 E CAMELBACK RD UNIT 625
Second Line :
City : PHOENIX
State : AZ
Zip : 85016-3458
Country : US
Telephone Number : 480-626-2024
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/18/2020
Last Update Date : 08/22/2025

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Directions to “ ALEXANDRIA VILLARREAL ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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