Individual
DIANA E VILLARREAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, CPNP
Contact information
Practice address
1616 LOGAN AVE, LAREDO, TX 78040-4647
(956) 722-5162
(956) 722-0676
Mailing address
1616 LOGAN AVE, LAREDO, TX 78040-4647
(956) 722-5162
(956) 722-0676
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
789378
TX
363LP0200X
Pediatric Nurse Practitioner
Primary
AP126931
TX
363LP2300X
Primary Care Nurse Practitioner
AP126931
TX
Other
Enumeration date
11/19/2014
Last updated
11/19/2014
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