Individual
COLEEN MARY VILLARREAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6500 38TH AVE N, SAINT PETERSBURG, FL 33710-1629
(703) 341-4870
(703) 344-4707
Mailing address
9912 82ND ST, SEMINOLE, FL 33777-1903
(703) 867-1134
Taxonomy
Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
9194837
FL
363LF0000X
Family Nurse Practitioner
Primary
9194837
FL
Other
Enumeration date
09/19/2017
Last updated
09/28/2017
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