Kelly Villa, CNM, NP, APNP
Nurse Practitioner in Mequon, WI. Individual provider (NPI-1).
NPI number1184875494
StatusActive
Last updated in NPPESMar 22, 2012
Details
- NPI
- 1184875494
- Entity type
- Individual (NPI-1)
- Name
- Kelly Villa
- Credential
- CNM, NP, APNP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 6, 2008
- Last updated
- Mar 22, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363L00000X | Nurse Practitioner | 3589-033 | WI | Yes |
| 176B00000X | Midwife | 148827-032 | WI |
Practice location
13111 N Port Washington RdMequon, WI 53097-2416
Phone 414-243-7300
Mailing address
13111 N Port Washington RdMequon, WI 53097-2416
Phone 262-243-7300
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All 34 Nurse Practitioner providers in Mequon · All 1,400 providers in Mequon
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