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Individual

MS. CAROLYN VIRGINIA VILLANUEVA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
FNP

Contact information

Practice address
4910 N SABINO CANYON ROAD, TUCSON, AZ 85750-6428
(520) 760-0741
(520) 760-9508
Mailing address
1200 N EL DORADO PLACE, F-670, TUCSON, AZ 85715-4637
(520) 324-4774
(520) 324-2567

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
2008011126
AZ
363LF0000X
Family Nurse Practitioner
Primary
AP3256
AZ

Other

Enumeration date
03/06/2009
Last updated
08/29/2011
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