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

Miss. MA Cornelia Villavicencio Leano, NURSEPRACTITIONER

Individual provider Adult Health Nurse Practitioner · NPI 1780179580

Miss. MA Cornelia Villavicencio Leano, NURSEPRACTITIONER is a Nurse Practitioner in Fayetteville, North Carolina. Qualified in 2009, 17 years ago. Practices with Eventus Wholehealth PLLC, a 299-clinician group and offers telehealth. Licensed in North Carolina.

Years since qualifying
17
Licensed in
NC
In the registry since
2018
Specialties on file
2
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

3081 Stone Carriage Cir Apt Z
Fayetteville, NC 28304
Phone: (818) 675-0386
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Specialties & licences

Gerontology Nurse Practitioner (primary) Taxonomy 363LG0600X · Licence LEAN-18CO92 (NC)
Adult Health Nurse Practitioner Taxonomy 363LA2200X · Licence LEAN-18CO92 (NC)

Record details

NPI number1780179580
Entity typeIndividual (Type 1)
GenderFemale
Credentials NURSEPRACTITIONER
Sole proprietorNo
NPI enumeratedJune 25, 2018
Last updated in NPPESJuly 11, 2018

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2009 (17 years in practice)
Group practice Eventus Wholehealth Pllc — 299 clinicians
Accepts Medicare assignment Not indicated
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

Other providers in Fayetteville