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NPI Code Detail

MEDICARE: ESMERALDA VILLICANA RN

MEDICARE: ESMERALDA VILLICANA RN
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 Nurse95426245CA

General Provider Information

NPI Number : 1760312045
Entity Type Code : Individual
Provider Name (Legal Business Name) : ESMERALDA VILLICANA RN
Provider Business Mailing Address
First Line : 1987 PRINCETON CT
Second Line :
City : SALINAS
State : CA
Zip : 93906-5106
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 990 SONOMA AVE STE 18
Second Line :
City : SANTA ROSA
State : CA
Zip : 95404-4813
Country : US
Telephone Number : 707-579-1102
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/20/2026
Last Update Date : 05/20/2026

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Directions to “ ESMERALDA VILLICANA RN” Practice Location

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