Individual
ANDRES G. VILLACRESES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
507 DEL PRADO BLVD S, CAPE CORAL, FL 33990-2618
(239) 424-2030
(239) 343-4116
Mailing address
PO BOX 2147, FORT MYERS, FL 33902-2147
(239) 424-2030
(239) 343-4116
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
APRN9276156
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
007273800
—
FL
01
—
1308583
CIGNA
FL
01
—
9252937
AETNA
FL
01
—
P01111858
RAILROAD MCR
FL
01
—
P01366891
RR MEDICARE
FL
01
—
P100420
FREEDOM HEALTH
FL
01
—
P1004200
FREEDOM
FL
01
—
P944975
OPTIMUM
FL
01
—
Y0E6T
BCBS FL
FL
Enumeration date
10/12/2012
Last updated
03/30/2021
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