Individual
DR. VIRGINIA OTEY VILLARREAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, CNP, FNP-BC
Contact information
Practice address
1185 TOWN CENTRE DR, EAGAN, MN 55123-1187
(760) 583-1525
Mailing address
1185 TOWN CENTRE DR, EAGAN, MN 55123-1187
(651) 379-1600
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
201500721
OR
163W00000X
Registered Nurse
R2256878
MN
363LF0000X
Family Nurse Practitioner
Primary
7648
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
201500721RN
OREGON STATE BOARD OF NURSING
OR
01
—
7648
MINNESOTA BOARD OF NURSING
MN
01
—
R2256878
MINNESOTA STATE BOARD OF NURSING
MN
Enumeration date
06/24/2020
Last updated
09/11/2020
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