Individual
MRS. KIMBERLY L. VILLEGAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
142 PRINCETON RD FL 2, AUDUBON, NJ 08106-1236
(215) 500-9912
Mailing address
142 PRINCETON RD FL 2, AUDUBON, NJ 08106-1236
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
26NJ00824600
NJ
Other
Enumeration date
02/04/2019
Last updated
02/04/2019
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