Individual
KRISTIE MARIE VILLANUEVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
750 WILD FLOWER ST, MERRITT ISLAND, FL 32953-8055
(321) 890-2835
Mailing address
750 WILD FLOWER ST, MERRITT ISLAND, FL 32953-8055
(321) 890-2835
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
9213102
FL
Other
Enumeration date
11/12/2017
Last updated
11/12/2017
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