Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Alicia Pueblo

Individual provider Licensed Practical Nurse · NPI 1417507344

Alicia Pueblo is a Licensed Practical Nurse in Portage, Michigan. Licensed in Michigan. Registered with an NPI since 2019.

Licensed in
MI
In the registry since
2019
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Practice location Address checks out

524 W Centre Ave
Portage, MI 49024-5306
Phone: (269) 324-1180
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Licensed Practical Nurse (primary) Taxonomy 164W00000X · Licence 4703114479 (MI)

Record details

NPI number1417507344
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 12, 2019
Last updated in NPPESSeptember 12, 2019

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