Individual
DR. NANCY ELEANOR VILLANUEVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD, CRNP, BC, CNRN
Contact information
Practice address
3509 N BROAD ST, PHILADELPHIA, PA 19140-4105
(215) 707-7200
(215) 707-3831
Mailing address
2450 W. HUNTING PARK AVENUE, PHILADELPHIA, PA 19129
(215) 707-8561
(215) 707-3677
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
85187-2
FL
363LA2200X
Adult Health Nurse Practitioner
Primary
SP009551
PA
Other
Enumeration date
12/29/2006
Last updated
05/01/2018
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