DR. VIRGINIA OTEY VILLARREAL RN CNP FNP-BC NPI 1518583590

NPI Information

NPI: 1518583590
Provider Name: DR. VIRGINIA OTEY VILLARREAL, RN, CNP, FNP-BC
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
1185 TOWN CENTRE DR
EAGAN, MN
ZIP 55123
Phone: (760) 583-1525
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DR. Virginia Otey Villarreal, RN, CNP, FNP-BC is a family nurse practitioner in Eagan, MN with 4 years of experience. DR. Virginia Otey Villarreal, RN, CNP, FNP-BC NPI is 1518583590. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: UNIVERSITY OF MINNESOTA MEDICAL SCHOOL
Graduation Year:2020

The provider's business location address is:

1185 TOWN CENTRE DR
EAGAN, MN
ZIP 55123-187
Phone: (760) 583-1525

The NPI 1518583590 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 6/24/2020 and was last updated on 9/11/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	163W00000X	Registered Nurse		R2256878	MINNESOTA	No
2	163W00000X	Registered Nurse		201500721	OREGON	No
3	363LF0000X	Nurse Practitioner	Family	7648	MINNESOTA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	201500721RN	OTHER	OREGON	OREGON STATE BOARD OF NURSING
2	R2256878	OTHER	MINNESOTA	MINNESOTA STATE BOARD OF NURSING
3	7648	OTHER	MINNESOTA	MINNESOTA BOARD OF NURSING

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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