Individual
ANNETTE CHRISTINE VILLENA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN-C
Contact information
Practice address
2790 CLAY EDWARDS DR STE 520, NORTH KANSAS CITY, MO 64116-3274
(816) 221-6750
(816) 221-2335
Mailing address
2790 CLAY EDWARDS DR STE 520, NORTH KANSAS CITY, MO 64116-3274
(816) 221-6750
(816) 221-2335
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
2020016186
MO
363L00000X
Nurse Practitioner
53-45357
KS
363LP2300X
Primary Care Nurse Practitioner
45357
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
068002211
MEDICARE PTAN
KS
05
—
200612400B
—
KS
Enumeration date
06/22/2006
Last updated
03/27/2023
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