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NPI Code Detail

MEDICARE: MRS. TONYA MAY VILLEGAS LPN

MEDICARE: MRS. TONYA MAY VILLEGAS LPN
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
1164W00000XLicensed Practical NurseLPN0000068287TN

General Provider Information

NPI Number : 1972639698
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. TONYA MAY VILLEGAS LPN
Provider Business Mailing Address
First Line : 140 DOVER ST
Second Line :
City : SHELBYVILLE
State : TN
Zip : 37160-2776
Country : US
Telephone Number : 931-684-3426
Fax Number : 931-684-5860
Provider Business Practice Location Address
First Line : 140 DOVER ST
Second Line :
City : SHELBYVILLE
State : TN
Zip : 37160-2776
Country : US
Telephone Number : 931-684-3426
Fax Number : 931-684-5860
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/26/2007
Last Update Date : 07/08/2007

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