Individual
GREGORIA VILLARUEL-KIRK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
3322 S CAMPBELL AVE STE T-1, SPRINGFIELD, MO 65807
(417) 220-4480
Mailing address
3322 S CAMPBELL AVE STE T-1, SPRINGFIELD, MO 65807-4980
(417) 220-4480
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
136786
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1588649651
—
MO
05
—
427406905
—
MO
01
—
P00262273
RR MEDICARE
—
Enumeration date
12/13/2005
Last updated
01/22/2024
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