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NPI Code Detail

MEDICARE: ALESSONDRA MARGEN VILLEGAS FERRENTINO

MEDICARE: ALESSONDRA MARGEN VILLEGAS FERRENTINO
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
1367500000XCertified Registered Nurse Anesthetist712873-01NY
2367500000XCertified Registered Nurse Anesthetist29635SC
3163W00000XRegistered Nurse712873-01NY
4367500000XCertified Registered Nurse Anesthetist26NJ14859100NJ
5163W00000XRegistered Nurse26NR18440300NJ

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1750081154
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALESSONDRA MARGEN VILLEGAS FERRENTINO
Provider Business Mailing Address
First Line : PO BOX 603484
Second Line :
City : CHARLOTTE
State : NC
Zip : 28260-3484
Country : US
Telephone Number : 803-454-2600
Fax Number : 803-765-1732
Provider Business Practice Location Address
First Line : 2095 HENRY TECKLENBURG DR
Second Line :
City : CHARLESTON
State : SC
Zip : 29414-5733
Country : US
Telephone Number : 843-402-1436
Fax Number : 843-402-1833
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/06/2023
Last Update Date : 03/24/2026

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