John De Villa, FNP-BC

NPI 1205474210 · on the registry since 2019

Practice

Address: 902 Lakeview Ave
Pueblo, CO 81004
Phone: (719) 557-5855
Organisation at this address: Southern Colorado Family Medicine
Catholic Health Initiatives Colorado
Catholic Health Initiatives Colorado
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 58

Additional practice sites

1008 Minnequa Ave, Pueblo, CO

Registry record

Primary taxonomy: 363LF0000X
363LF0000X
Licence states on file: CO
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2020-04-24

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Colorado