Individual
MRS. NICOLE LYNN VILLELLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
761 JOHNSONBURG RD, SAINT MARYS, PA 15857-3483
(814) 788-8777
Mailing address
321 BAVARIAN HILLS RD, SAINT MARYS, PA 15857-4101
(814) 781-8393
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
SP016921
PA
Other
Enumeration date
12/04/2016
Last updated
12/04/2016
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