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NPI Code Detail

MEDICARE: E. JOSEPH VILLENEUVE CRNA

MEDICARE: E. JOSEPH VILLENEUVE CRNA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1367500000XCertified Registered Nurse AnesthetistAPN317SC

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1396798427
Entity Type Code : Individual
Provider Name (Legal Business Name) : E. JOSEPH VILLENEUVE CRNA
Provider Business Mailing Address
First Line : PO BOX 100567
Second Line :
City : FLORENCE
State : SC
Zip : 29501-0567
Country : US
Telephone Number : 843-777-4428
Fax Number : 843-777-5035
Provider Business Practice Location Address
First Line : 301 E JACKSON ST
Second Line :
City : DILLON
State : SC
Zip : 29536-2509
Country : US
Telephone Number : 843-774-4111
Fax Number : 843-777-5035
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/18/2006
Last Update Date : 11/22/2011

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Directions to “ E. JOSEPH VILLENEUVE CRNA” Practice Location

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