Individual
MARY ANN THERESA VILLEGAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP FNP-C
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
569681
CA
163WS0200X
School Registered Nurse
RN741273
PA
363LF0000X
Family Nurse Practitioner
SP029021
PA
363LP0200X
Pediatric Nurse Practitioner
Primary
SP029021
PA
363LS0200X
School Nurse Practitioner
SP029021
PA
Other
Enumeration date
02/08/2020
Last updated
06/15/2026
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