Provider Demographics
NPI:1659259554
Name:VILANDRE, ERIONNA R
Entity type:Individual
Prefix:
First Name:ERIONNA
Middle Name:R
Last Name:VILANDRE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1927 13TH AVE SW
Mailing Address - Street 2:
Mailing Address - City:DEVILS LAKE
Mailing Address - State:ND
Mailing Address - Zip Code:58301-8617
Mailing Address - Country:US
Mailing Address - Phone:701-885-0208
Mailing Address - Fax:
Practice Address - Street 1:1927 13TH AVE SW
Practice Address - Street 2:
Practice Address - City:DEVILS LAKE
Practice Address - State:ND
Practice Address - Zip Code:58301-8617
Practice Address - Country:US
Practice Address - Phone:701-885-0208
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-08-26
Last Update Date:2025-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376K00000XNursing Service Related ProvidersNurse's Aide