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Individual

MARIE ELIZABETH NUNEZ VILLANUEVA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN-CNP

Contact information

Practice address
446 E ONTARIO ST, 6TH FLOOR, SUITE 6-300, CHICAGO, IL 60611-4418
(312) 926-3207
Mailing address
446 E ONTARIO ST, 6TH FLOOR, SUITE 6-300, CHICAGO, IL 60611-4418
(312) 926-3207

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
209.006884
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
041.364784
RN LICENSE
IL
01
209.006884
IL APN LICENSE NUMBER
IL
01
309.003670
APN CONTROLLED SUBSTANCE
IL
01
32689
CONTROLLED SUBSTANCE REG.
CT
Enumeration date
11/03/2006
Last updated
03/07/2023
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