Provider Demographics
NPI:1548440589
Name:VILLANUEVA, JOSEPHINE (RN)
Entity type:Individual
Prefix:MRS
First Name:JOSEPHINE
Middle Name:
Last Name:VILLANUEVA
Suffix:
Gender:F
Credentials:RN
Other - Prefix:MR
Other - First Name:NESTOR
Other - Middle Name:
Other - Last Name:VILLANUEVA
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:9661 NW 46TH LN
Mailing Address - Street 2:
Mailing Address - City:DORAL
Mailing Address - State:FL
Mailing Address - Zip Code:33178-2086
Mailing Address - Country:US
Mailing Address - Phone:305-471-9840
Mailing Address - Fax:305-371-9720
Practice Address - Street 1:9661 NW 46TH LN
Practice Address - Street 2:
Practice Address - City:DORAL
Practice Address - State:FL
Practice Address - Zip Code:33178-2086
Practice Address - Country:US
Practice Address - Phone:305-471-9840
Practice Address - Fax:305-371-9720
Is Sole Proprietor?:No
Enumeration Date:2007-11-07
Last Update Date:2007-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRN2211492163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse