# KARI VILLARREAL

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1104823905
- **Gender:** F
- **Credential:** N.P.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363L00000X | Nurse Practitioner | 3008426 | KY | Yes |
| 363L00000X | Nurse Practitioner | 71001762A | IN | — |

## Other

- **Enumeration date:** 07/07/2005
- **Last updated:** 06/18/2014

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 000000380313 | ANTHEM | IN |
| 05 | — | 0098779 | — | OH |
| 05 | — | 200190950A | — | IN |
| 05 | — | 306607332001 | — | IL |
| 05 | — | 78016268 | — | KY |
