| NPI | 1881884229 |
|---|---|
| Other Name | DEREK VILLAREAL |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY 22 580183) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: NY 431496) |
| Enumeration Date | 2007-08-01 |
| Last Update Date | 2019-09-18 |