Individual
CARMEN DIANA VILLA
Active
Individual
CARMEN DIANA VILLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN
Taxonomy
Speciality
Code
Description
License number
State
163WG0600X
Gerontology Registered Nurse
Primary
790228
CA
363LA2100X
Acute Care Nurse Practitioner
Primary
95009604
CA
Other
Enumeration date
07/02/2018
Last updated
07/23/2026
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