Individual provider · Type 1 NPI

Roberta Villanueva, NURSE PRACTITIONER

School Nurse Practitioner · Los Angeles, CA

NPI number 1174954978 Active

Practice location

121 N Beaudry Ave
Los Angeles, CA 90012-2009

Mailing address

1127 Crowne Dr
Pasadena, CA 91107-5912

Specialties and licenses

TaxonomyCodeLicense
Pediatric Nurse Practitioner 363LP0200X276628 (CA)
School Nurse Practitioner Primary 363LS0200X276628 (CA)

School Nurse Practitioner: Definition to come...

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About NPI 1174954978

Roberta Villanueva, NURSE PRACTITIONER's National Provider Identifier is 1174954978, issued on Dec 3, 2013. The primary taxonomy on file is School Nurse Practitioner (363LS0200X), and the practice location is in Los Angeles, CA. The record was last updated on Dec 3, 2013.