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NPI Code Detail

MEDICARE: RHALP VILLANUEVA

MEDICARE: RHALP VILLANUEVA
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
1163W00000XRegistered NurseRN756895PA

General Provider Information

NPI Number : 1255100426
Entity Type Code : Individual
Provider Name (Legal Business Name) : RHALP VILLANUEVA
Provider Business Mailing Address
First Line : 2108 BORBECK AVE
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19152-3725
Country : US
Telephone Number : 215-245-2131
Fax Number :
Provider Business Practice Location Address
First Line : 2108 BORBECK AVE
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19152-3725
Country : US
Telephone Number : 215-245-2131
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/28/2023
Last Update Date : 12/28/2023

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Directions to “ RHALP VILLANUEVA ” Practice Location

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