IndividualActive
Alexandra Villalba, PA
NPI 1114576436 · Surgical Physician Assistant · Bristol, CT
Provider details
- NPI number
- 1114576436
- Entity type
- Individual
- Primary specialty
- Surgical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
- Physician Assistant363A00000X
Physician Assistants & Advanced Practice Nursing Providers
- Medical Physician Assistant363AM0700X
Physician Assistants & Advanced Practice Nursing Providers
Practice location
240 Main St
Bristol, CT 06010-6337
Phone: (860) 585-3469
Approximate (ZIP-level) locationGet directions
Mailing address
13732 Nw 16th St
Pembroke Pines, FL 33028-3037
Registry dates
- Enumerated
- 2019-09-09
- Last updated
- 2019-09-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.