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

Elizabeth Villavicencio, NURSEPRACT

Individual provider Pediatric Nurse Practitioner · NPI 1790772010

Elizabeth Villavicencio, NURSEPRACT is a Pediatric Nurse Practitioner in Staten Island, New York. Licensed in New York. Registered with an NPI since 2005.

Licensed in
NY
In the registry since
2005

Practice location Address checks out

347 Edison St
Staten Island, NY 10306-3034
Phone: (718) 351-1136
Fax: (718) 667-9711
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Nurse Practitioner (primary) Taxonomy 363LP0200X · Licence F3814531 (NY)

Record details

NPI number1790772010
Entity typeIndividual (Type 1)
GenderFemale
Credentials NURSEPRACT
Sole proprietorNo
NPI enumeratedOctober 3, 2005
Last updated in NPPESNovember 9, 2012

Other providers in Staten Island