Provider Demographics
NPI:1124434154
Name:VILLAVICENCIO, APRIL CHRISTEAN
Entity type:Individual
Prefix:MRS
First Name:APRIL
Middle Name:CHRISTEAN
Last Name:VILLAVICENCIO
Suffix:
Gender:F
Credentials:
Other - Prefix:MISS
Other - First Name:APRIL
Other - Middle Name:CHRISTEAN
Other - Last Name:IDLEMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:490 N GRAPE ST
Mailing Address - Street 2:
Mailing Address - City:ESCONDIDO
Mailing Address - State:CA
Mailing Address - Zip Code:92025-3079
Mailing Address - Country:US
Mailing Address - Phone:760-975-9939
Mailing Address - Fax:760-509-9093
Practice Address - Street 1:490 N GRAPE ST
Practice Address - Street 2:
Practice Address - City:ESCONDIDO
Practice Address - State:CA
Practice Address - Zip Code:92025-3079
Practice Address - Country:US
Practice Address - Phone:760-975-9939
Practice Address - Fax:760-509-9093
Is Sole Proprietor?:No
Enumeration Date:2014-07-10
Last Update Date:2022-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246YC3302XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, Health InformationCoding Specialist, Physician Office Based