Individual
ALEXANDRIA VILLARREAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2355 E CAMELBACK RD UNIT 625, PHOENIX, AZ 85016-3458
(480) 626-2024
Mailing address
16028 N 74TH LN, PEORIA, AZ 85382-1833
(602) 363-5802
Taxonomy
Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
RN241883
AZ
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
241883
AZ
Other
Enumeration date
08/18/2020
Last updated
08/22/2025
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