Healthcare Provider Details
I. General information
NPI: 1104764869
Provider Name (Legal Business Name): VALERIE ANN VILLEGAS FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 03/24/2026
Last Update Date: 06/26/2026
Certification Date: 06/26/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
422 W RIVERSIDE DR APT 430
AUSTIN TX
78704-0375
US
IV. Provider business mailing address
112 SPARKS DR
FOREST CITY NC
28043-9021
US
V. Phone/Fax
- Phone: 828-351-6000
- Fax: 828-287-7436
- Phone: 828-351-6000
- Fax: 828-287-7436
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 363LF0000X |
| Taxonomy | Family Nurse Practitioner |
| License Number | 1232396 |
| License Number State | TX |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: