Individual
MS. ELBA M VILLACORTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, CNOR
Contact information
Practice address
550 POPE AVE, MUNSON ARMY HEALTH CENTER (ATTN: MCXN-COD, MS. COTTON), FORT LEAVENWORTH, KS 66027-2332
(913) 684-6562
Mailing address
550 POPE AVE, MUNSON ARMY HEALTH CENTER (ATTN: MCXN-COD, MS. COTTON), FORT LEAVENWORTH, KS 66027-2332
(913) 684-6562
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
537860
CA
163W00000X
Registered Nurse
732952
TX
Other
Enumeration date
07/14/2008
Last updated
07/14/2008
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