Individual
MARIBEL VILLEGAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
319 W TOWN PL, SAINT AUGUSTINE, FL 32092-3101
(904) 940-1577
Mailing address
255 OLD VILLAGE CENTER CIR, UNIT #9206, SAINT AUGUSTINE, FL 32084-5866
(954) 649-7792
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
9267529
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001774200
—
FL
Enumeration date
01/10/2010
Last updated
11/11/2012
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