Individual
MRS. AMARILIS VILLANUEVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
913 MAIN AVE, PASSAIC, NJ 07055-8540
(973) 458-8000
(973) 458-8425
Mailing address
913 MAIN AVE, PASSAIC, NJ 07055-8540
(973) 458-8000
(973) 458-8425
Taxonomy
Speciality
Code
Description
License number
State
163WR0400X
Rehabilitation Registered Nurse
26NR07111600
NJ
363L00000X
Nurse Practitioner
Primary
26NJ00899000
NJ
Other
Enumeration date
12/01/2008
Last updated
05/25/2023
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