Individual
IRENE VILLALPANDO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2270 S RIDGEVIEW DR STE 303, YUMA, AZ 85364-8866
(928) 782-1903
(928) 782-1703
Mailing address
PO BOX 5148, YUMA, AZ 85366-2458
(928) 782-1903
(928) 782-1703
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP5224
AZ
363LF0000X
Family Nurse Practitioner
TAP5224
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
877704
—
AZ
Enumeration date
11/15/2013
Last updated
06/02/2014
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