Individual
KRISTA VILLARREAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
8303 DODGE ST, OMAHA, NE 68114-4108
(402) 354-2360
Mailing address
14709 EDNA ST, OMAHA, NE 68138-6367
(402) 720-0077
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
113259
NE
Other
Enumeration date
08/21/2020
Last updated
08/21/2020
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