Provider Demographics
NPI:1881926251
Name:VILLANUEVA, MARIA THERESA YEBRA (RN)
Entity type:Individual
Prefix:MS
First Name:MARIA THERESA
Middle Name:YEBRA
Last Name:VILLANUEVA
Suffix:
Gender:F
Credentials:RN
Other - Prefix:MS
Other - First Name:THESS
Other - Middle Name:Y
Other - Last Name:VILLANUEVA
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:RN
Mailing Address - Street 1:616 MAWYER DR.
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43085
Mailing Address - Country:US
Mailing Address - Phone:614-893-0579
Mailing Address - Fax:
Practice Address - Street 1:616 MAWYER DR
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43085-5403
Practice Address - Country:US
Practice Address - Phone:614-893-0579
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-02-09
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN.318641163WG0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WG0000XNursing Service ProvidersRegistered NurseGeneral Practice