Provider Demographics
NPI:1043374069
Name:VILLAREAL, GILDA ARCALES (DRNP)
Entity Type:Individual
Prefix:DR
First Name:GILDA
Middle Name:ARCALES
Last Name:VILLAREAL
Suffix:
Gender:F
Credentials:DRNP
Other - Prefix:DR
Other - First Name:GILDA
Other - Middle Name:ARCALES
Other - Last Name:VILLAREAL
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DRNP
Mailing Address - Street 1:1524 PINTO LN
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89106-4195
Mailing Address - Country:US
Mailing Address - Phone:702-383-6285
Mailing Address - Fax:702-383-2757
Practice Address - Street 1:1524 PINTO LN
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89106-4195
Practice Address - Country:US
Practice Address - Phone:702-383-6285
Practice Address - Fax:702-383-2757
Is Sole Proprietor?:No
Enumeration Date:2006-12-21
Last Update Date:2011-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVAPN000911363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics