Individual
CHEYENNE DOUGLAS VILLARI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, RN, CPNP-PC
Contact information
Practice address
300 LONGWOOD AVE, BOSTON, MA 02115-5724
(617) 355-6000
Mailing address
300 LONGWOOD AVE, BOSTON, MA 02115-5724
(617) 355-6000
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
382889
NY
363LP0200X
Pediatric Nurse Practitioner
7144
CT
363LP0200X
Pediatric Nurse Practitioner
Primary
RN2310376
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
05384905
—
NY
Enumeration date
08/11/2017
Last updated
08/10/2023
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