NICHOLAS LEE VILLARREAL

EDINA, MN
NPI1609392695
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363LA2100X Nurse Practitioner, Acute Care
(Licence: MN  5385)
Enumeration Date2017-08-21
Last Update Date2018-03-17
Business Address
NICHOLAS LEE VILLARREAL
6401 FRANCE AVE S
EDINA, MN 55435-2104
Phone number: 952-924-5000
Mailing Address
NICHOLAS LEE VILLARREAL
203 LITTLE JOHN LN
HAVELOCK, NC 28532-9554
Phone number:
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