Agustin, Johnny Villanueva

Agustin, Johnny Villanueva is an individual health care provider with primary practice located at 565 Kern St , Shafter CA 93263-2133. He recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Community Health, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is his primary health care specialty. Agustin, Johnny Villanueva can be contacted via phone (661) 746-4937.

Contact Information

Primary practice address
565 Kern St Shafter CA 93263-2133
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Community Health 163WC1500X 536811 California
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 95018599 California

Profile Details

NPI number 1174704845
LBN Legal business name Agustin, Johnny Villanueva
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 21st, 2007
Last updated Dec 29th, 2021 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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