Provider Demographics
NPI:1770310831
Name:VILLANUEVA SANCHEZ, ALONDRA (NP)
Entity type:Individual
Prefix:
First Name:ALONDRA
Middle Name:
Last Name:VILLANUEVA SANCHEZ
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6829 MYRTLE AVE
Mailing Address - Street 2:
Mailing Address - City:GLENDALE
Mailing Address - State:NY
Mailing Address - Zip Code:11385-7234
Mailing Address - Country:US
Mailing Address - Phone:646-281-3259
Mailing Address - Fax:
Practice Address - Street 1:331 KNICKERBOCKER AVE
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11237-3601
Practice Address - Country:US
Practice Address - Phone:718-400-1444
Practice Address - Fax:718-400-1244
Is Sole Proprietor?:No
Enumeration Date:2024-09-13
Last Update Date:2024-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYF311912-01363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health