Individual provider · Type 1 NPI
Nancy Eleanor Villanueva, PhD, CRNP, BC, CNRN
Adult Health Nurse Practitioner · Philadelphia, PA
NPI number
1457417768
Active
Practice location
3509 N Broad St
Philadelphia, PA 19140-4105
Fax (215) 707-3831
Mailing address
2450 W. Hunting Park Avenue
Philadelphia, PA 19129
Other practice locations
- 3401 N Broad St Ste C540, Philadelphia, PA 19140-5103 · (215) 707-7200
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | 85187-2 (FL) |
| Adult Health Nurse Practitioner Primary | 363LA2200X | SP009551 (PA) |
Adult Health Nurse Practitioner: Definition to come...
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About NPI 1457417768
Nancy Eleanor Villanueva, PhD, CRNP, BC, CNRN's National Provider Identifier is 1457417768, issued on Dec 29, 2006. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Philadelphia, PA. The record was last updated on May 1, 2018.