Individual provider · Type 1 NPI

Johnny Villanueva Agustin, NP

Nurse Practitioner · Shafter, CA

NPI number 1174704845 Active

Practice location

565 Kern St
Shafter, CA 93263-2133

Mailing address

403 Brightstone Dr
Bakersfield, CA 93312-7032

Specialties and licenses

TaxonomyCodeLicense
Community Health Registered Nurse 163WC1500X536811 (CA)
Nurse Practitioner Primary 363L00000X95018599 (CA)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1174704845

Johnny Villanueva Agustin, NP's National Provider Identifier is 1174704845, issued on Nov 21, 2007. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Shafter, CA. The record was last updated on Dec 29, 2021.