Individual
LESLIE VANESSA VILLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2781 S 242ND ST, DES MOINES, WA 98198-5166
(206) 212-4500
(206) 212-4515
Mailing address
PO BOX 34703, SEATTLE, WA 98124-1703
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN61093136
WA
171M00000X
Case Manager/Care Coordinator
Primary
RN61093136
WA
367A00000X
Advanced Practice Midwife
AP61554107
WA
Other
Enumeration date
02/17/2021
Last updated
03/24/2026
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