MS. NOEMI VILLANUEVA STA ANA


Address: 1738 Newbridge Rd Unit 1, North Bellmore, NY 11710-1657
Phone: 9178613374

MS. NOEMI VILLANUEVA STA ANA (NPI# 1528667169) 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) 1528667169
Entity Type Individual
Full Name MS. NOEMI VILLANUEVA STA ANA
Other Name MS. NOEMI VILLANUEVA STA. ANA
Credential AGPCNP
Practice Address 1738 Newbridge Rd Unit 1
North Bellmore
NY 11710-1657
Practice Telephone 9178613374
Mailing Telephone 9178613374
Enumeration Date 2020-10-24
Last Update Date 2020-10-24
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LP2300X Nurse Practitioner
Specialization: Primary Care
309322 NY Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 1738 NEWBRIDGE RD UNIT 1
City NORTH BELLMORE
State NY
Zip Code 11710-1657

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1992203756 Sheryl Ackerman Specialist/Technologist, Other 2465 Shelly Court, Bellmore, NY 11710 2018-01-26
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Taxonomy Information

Taxonomy Code 363LP2300X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Primary Care

Taxonomy Definition

Definition to come...

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Competitor

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City NORTH BELLMORE
Zip Code 11710

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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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