Alexandria Pebbles Vicencio, FNP-BC

NPI #1043083587 in Rockford, Illinois

Provider Information

NPI Number
1043083587
Entity Type
Individual
Name
Alexandria Pebbles Vicencio, FNP-BC
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Nurse Practitioner - Family
Credential
FNP-BC
Enumeration Date
Nov 6, 2023
Last Updated
Nov 6, 2023

Practice Location

Address
4215 NEWBURG RD
ZIP Code
61108-6479
Phone
(815) 988-8500

Specialties & Taxonomy Codes

Specialty
Nurse Practitioner - FamilyFamily

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