Provider Demographics
NPI:1043063761
Name:VILLAFANE, ABIGAIL (RN)
Entity type:Individual
Prefix:
First Name:ABIGAIL
Middle Name:
Last Name:VILLAFANE
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:ABIGAIL
Other - Middle Name:
Other - Last Name:ROLDAN-OSORIO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:4923 E CHICKWEED DR
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85756-5178
Mailing Address - Country:US
Mailing Address - Phone:904-401-2981
Mailing Address - Fax:
Practice Address - Street 1:4923 E CHICKWEED DR
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85756-5178
Practice Address - Country:US
Practice Address - Phone:904-401-2981
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-04-10
Last Update Date:2024-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZRN214627163WA2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WA2000XNursing Service ProvidersRegistered NurseAdministrator