Doctor Name: | MS. DIANNE M VILLANI |
NPI Number: | 1609211705 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MA, FNP-C |
License Number: | 101.0094572 |
Business Practice Address: | 20 W Canal St Suite #c1 Winooski, VT - 054042131 |
Business Phone Number: | 8026543562 |
Business Fax Number: | 8026543698 |
Mailing Address: | 1740 Hinesburg Rd, RICHMOND |
State: | VT |
Postal Code: | 054779217 |
Phone Number: | 8024343354 |
Fax Number: | |
NPI Enumeration Date: | 05/02/2013 |
NPI Last Update Date: | 04/06/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 101.0094572 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | VT |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |