Provider Demographics
NPI:1518766278
Name:NUNA MENTAL WELLNESS, PSYCHIATRIC MENTAL HEALTH NURSING, PC
Entity type:Organization
Organization Name:NUNA MENTAL WELLNESS, PSYCHIATRIC MENTAL HEALTH NURSING, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:GABRIELA
Authorized Official - Middle Name:URSULA
Authorized Official - Last Name:VILLAFUERTE
Authorized Official - Suffix:
Authorized Official - Credentials:FNP-BC, PMHNP-BC
Authorized Official - Phone:949-994-6468
Mailing Address - Street 1:26741 PORTOLA PARKWAY
Mailing Address - Street 2:STE. 1E #659
Mailing Address - City:FOOTHILL RANCH
Mailing Address - State:CA
Mailing Address - Zip Code:92610-1763
Mailing Address - Country:US
Mailing Address - Phone:949-994-6468
Mailing Address - Fax:
Practice Address - Street 1:19387 CASCADE DR
Practice Address - Street 2:
Practice Address - City:TRABUCO CANYON
Practice Address - State:CA
Practice Address - Zip Code:92679
Practice Address - Country:US
Practice Address - Phone:949-994-6468
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-03-13
Last Update Date:2025-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Multi-Specialty
No363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary CareGroup - Multi-Specialty
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Multi-Specialty