Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 363LW0102X | Nurse Practitioner - Women's Health | 95005330 | CA |
Y | 363LW0102X | Nurse Practitioner - Women's Health | AP11128 | AZ |
NPI | 1023560885 |
---|---|
Provider Name | Mrs. Danielle Marie Villatoro |
First Address | Tucson, AZ 85712-2919 |
Second Address | Vail, AZ 85641 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/10/2016 |
Last Update Date | 27/04/2020 |