Individual provider · Type 1 NPI

Thea Villanueva, NP

Gerontology Nurse Practitioner · Cerritos, CA

NPI number 1437588076 Active

Practice location

12900 Park Plaza Dr Ste 150
Cerritos, CA 90703-9329

Fax (562) 622-3058

Mailing address

13520 Park Centre St
Baldwin Park, CA 91706-2265

Specialties and licenses

TaxonomyCodeLicense
Gerontology Nurse Practitioner Primary 363LG0600X23502 (CA)

Gerontology Nurse Practitioner: Definition to come...

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About NPI 1437588076

Thea Villanueva, NP's National Provider Identifier is 1437588076, issued on Nov 4, 2013. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Cerritos, CA. The record was last updated on Jan 10, 2014.