Healthcare Provider Details

I. General information

NPI: 1821627357
Provider Name (Legal Business Name): APRIL VILLANUEVA-HERRERA LVN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/06/2020
Last Update Date: 04/06/2020
Certification Date: 04/06/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

339 PAJARO ST
SALINAS CA
93901-3400
US

IV. Provider business mailing address

319 REGENCY CIR APT 101
SALINAS CA
93906-5515
US

V. Phone/Fax

Practice location:
  • Phone: 831-649-4522
  • Fax:
Mailing address:
  • Phone: 669-291-5041
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code164X00000X
TaxonomyLicensed Vocational Nurse
License Number709965
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: