Johnny Villanueva Agustin in Shafter - Nurse Practitioner
Johnny Villanueva Agustin - NPI 1174704845
Johnny Villanueva Agustin is a Nurse Practitioner in Shafter, California. Johnny Villanueva Agustin practices all healthcare services and medical treatments related to Nurse Practitioner. The NPI Number for Johnny Villanueva Agustin is 1174704845. The last update date is 2021-12-29.
Johnny Villanueva Agustin's current location address is 565 Kern St, Shafter, California. You can contact this provider via phone number 6617464937. The mailing address for Johnny Villanueva Agustin is 565 Kern St, Shafter, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Johnny Villanueva Agustin |
|---|---|
| Address | 565 Kern St, Shafter, California |
| Phone Number | 6617464937 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | NP |
NPI Number Detail
| NPI Number | 1174704845 |
|---|---|
| Provider Enumeration Date | 2007-11-21 |
| Last Updated Date | 2021-12-29 |
Provider Mailing Address Detail
| Address | 565 Kern St |
|---|---|
| City | Shafter |
| State | California (CA) |
| Post Code | 932632133 |
| Phone Number | 6617464937 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Nurse Practitioner |
|---|---|
| Taxonomy | 363L00000X |
| Licence No | 95018599 |
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Definition: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certifi |
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What is the unique provider identifier assigned to Johnny Villanueva Agustin?
The Johnny Villanueva Agustin has been issued the NPI (National Provider Identifier) 1174704845 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Where is the Johnny Villanueva Agustin located?
The Johnny Villanueva Agustin is located at 565 Kern St, Shafter, CA 932632133.
What is Johnny Villanueva Agustin's specialized field of practice, and what is the corresponding taxonomy classification code?
The Johnny Villanueva Agustin's area of specialization is Nurse Practitioner, and the corresponding taxonomy code that categorizes this field of practice is 363L00000X.
When did Johnny Villanueva Agustin receive its 1174704845 assignment?
The Johnny Villanueva Agustin was assigned its 1174704845 on 2007-11-21, which is the date when this unique identifier was issued to the organization.
As of what date was the information regarding Johnny Villanueva Agustin, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Johnny Villanueva Agustin, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2021-12-29.
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