Villanueva, Johannes Gabertan

Villanueva, Johannes Gabertan is an individual health care provider with primary practice located at 602 Concord Pl , San Marcos CA 92069-1188. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Villanueva, Johannes Gabertan can be contacted via phone (760) 715-4083.

Contact Information

Primary practice address
602 Concord Pl San Marcos CA 92069-1188
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 95000993 California

Profile Details

NPI number 1740698950
LBN Legal business name Villanueva, Johannes Gabertan
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 31st, 2014
Last updated Feb 19th, 2020 - about 6 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.

Request for update

Popular Providers