Villanueva, Elizabeth

Villanueva, Elizabeth is an individual health care provider with primary practice located at 2131 Fountain Dr , Snellville GA 30078-7024. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as her primary health care specialty. Villanueva, Elizabeth can be contacted via phone (770) 979-8200.

Contact Information

Primary practice address
2131 Fountain Dr Snellville GA 30078-7024
Phone: (770) 979-8200
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X R041504 Georgia

Profile Details

NPI number 1265417968
LBN Legal business name Villanueva, Elizabeth
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 14th, 2005
Last updated Jan 26th, 2010 - about 14 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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Identifiers

StateTypeNumberIssuer
All States NPI 1265417968 NPPES
Georgia Other P00163808 RAILROAD MEDICARE
Georgia MEDICAID 000559754D RAILROAD MEDICARE

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