KRISTIE MARIE VILLANUEVA


Address: 750 Wild Flower St, Merritt Island, FL 32953-8055
Phone: 3218902835

KRISTIE MARIE VILLANUEVA (NPI# 1396258430) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1396258430
Entity Type Individual
Full Name KRISTIE MARIE VILLANUEVA
Credential RN
Practice Address 750 Wild Flower St
Merritt Island
FL 32953-8055
Practice Telephone 3218902835
Mailing Telephone 3218902835
Enumeration Date 2017-11-12
Last Update Date 2017-11-12
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 163WC0400X Registered Nurse
Specialization: Case Management
9213102 FL Nursing Service Providers

Office Location

Street Address 750 WILD FLOWER ST
City MERRITT ISLAND
State FL
Zip Code 32953-8055

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1649517848 Joanna Knopf Counselor 2460 N Courtenay Pkwy Ste 114, Merritt Island, FL 32953 2013-01-08
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1881946630 David Bhola Family Medicine 2404 N Courtenay Pkwy Ste D, Merritt Island, FL 32953 2012-10-03
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Taxonomy Information

Taxonomy Code 163WC0400X
Grouping Nursing Service Providers
Classification Registered Nurse
Specialization Case Management

Taxonomy Definition

Definition to come...

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Competitor

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City MERRITT ISLAND
Zip Code 32953

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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