MEDICARE: REBECCA VILLAFANA RDN

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
1	133V00000X	Registered Dietitian

General Provider Information

NPI Number	:	1588529374
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	REBECCA VILLAFANA RDN

Provider Business Mailing Address
First Line	:	9439 N 59TH AVE UNIT 143
Second Line	:
City	:	GLENDALE
State	:	AZ
Zip	:	85302-3052
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	9439 N 59TH AVE UNIT 143
Second Line	:
City	:	GLENDALE
State	:	AZ
Zip	:	85302-3052
Country	:	US
Telephone Number	:	602-784-2183
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/23/2025
Last Update Date	:	12/23/2025

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Directions to “ REBECCA VILLAFANA RDN” Practice Location

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