Provider Demographics
NPI:1164754925
Name:VILLAR, EVELYN GLENNYS (ARNP)
Entity type:Individual
Prefix:MS
First Name:EVELYN
Middle Name:GLENNYS
Last Name:VILLAR
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:EVELYN
Other - Middle Name:GLENNYS
Other - Last Name:HELSETH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2140 ANGEL FISH LOOP
Mailing Address - Street 2:
Mailing Address - City:LEESBURG
Mailing Address - State:FL
Mailing Address - Zip Code:34748-6161
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2140 ANGEL FISH LOOP
Practice Address - Street 2:
Practice Address - City:LEESBURG
Practice Address - State:FL
Practice Address - Zip Code:34748-6161
Practice Address - Country:US
Practice Address - Phone:407-929-9459
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-02-04
Last Update Date:2025-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP9259806363LF0000X, 208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL002942600Medicaid