Individual
JOHANNA VILLASENOR NARDINI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4405 7TH AVE SE STE 200, LACEY, WA 98503-1055
(210) 201-2656
Mailing address
13423 BLANCO RD UNIT 3164, SAN ANTONIO, TX 78216-2187
(201) 210-2656
(863) 228-8489
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
MD61413990
WA
2084P0800X
Psychiatry Physician
T0115
TX
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
MD61413990
WA
2084P0804X
Child & Adolescent Psychiatry Physician
T0115
TX
Other
Enumeration date
03/27/2016
Last updated
12/29/2025
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