| Doctor Name: | IRENE VILLALPANDO |
| NPI Number: | 1023448735 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | TAP5224 |
| Business Practice Address: | 2270 S Ridgeview Dr Ste 303 Yuma, AZ - 853648866 |
| Business Phone Number: | 9287821903 |
| Business Fax Number: | 9287821703 |
| Mailing Address: | Po Box 5148, YUMA |
| State: | AZ |
| Postal Code: | 853662458 |
| Phone Number: | 9287821903 |
| Fax Number: | 9287821703 |
| NPI Enumeration Date: | 11/15/2013 |
| NPI Last Update Date: | 06/02/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | TAP5224 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | AZ |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |