Individual
PORTIA VILLALONA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
2 UNIVERSITY PLZ STE 204, HACKENSACK, NJ 07601-6211
(718) 360-9370
Mailing address
2 UNIVERSITY PLZ STE 204, HACKENSACK, NJ 07601-6211
(718) 360-9370
(718) 841-9438
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F-335821
NY
363LF0000X
Family Nurse Practitioner
F335821
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1609202175
—
NY
05
—
1922334358
—
NY
Enumeration date
09/17/2013
Last updated
01/08/2021
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