Healthcare Provider Details

I. General information

NPI: 1770291734
Provider Name (Legal Business Name): ANNE MARIE VILLANI
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/09/2022
Last Update Date: 09/09/2025
Certification Date: 09/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

630 W 34TH ST
AUSTIN TX
78705-1232
US

IV. Provider business mailing address

4013 SIERRA DR
AUSTIN TX
78731-3913
US

V. Phone/Fax

Practice location:
  • Phone: 512-212-4670
  • Fax:
Mailing address:
  • Phone: 512-650-6449
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WP0808X
TaxonomyPsychiatric/Mental Health Registered Nurse
License Number984750
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: