Provider Demographics
NPI:1326594821
Name:VILLEGAS, LORENZO BRIONES (MSN, APRN, FNP-BC)
Entity Type:Individual
Prefix:MR
First Name:LORENZO
Middle Name:BRIONES
Last Name:VILLEGAS
Suffix:
Gender:M
Credentials:MSN, APRN, FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1201 S CARSON ST
Mailing Address - Street 2:
Mailing Address - City:CARSON CITY
Mailing Address - State:NV
Mailing Address - Zip Code:89701-5225
Mailing Address - Country:US
Mailing Address - Phone:775-445-7340
Mailing Address - Fax:775-841-1142
Practice Address - Street 1:1201 S CARSON ST
Practice Address - Street 2:
Practice Address - City:CARSON CITY
Practice Address - State:NV
Practice Address - Zip Code:89701-5225
Practice Address - Country:US
Practice Address - Phone:775-445-7340
Practice Address - Fax:775-841-1142
Is Sole Proprietor?:No
Enumeration Date:2016-08-25
Last Update Date:2016-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVAPRN002316363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily