Provider Demographics
NPI:1518341874
Name:VILLARREAL, KAREN YVONNE (FNP)
Entity Type:Individual
Prefix:MRS
First Name:KAREN
Middle Name:YVONNE
Last Name:VILLARREAL
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2324 E CHESTNUT CT
Mailing Address - Street 2:
Mailing Address - City:VISALIA
Mailing Address - State:CA
Mailing Address - Zip Code:93292-1800
Mailing Address - Country:US
Mailing Address - Phone:559-289-4124
Mailing Address - Fax:
Practice Address - Street 1:2324 E CHESTNUT CT
Practice Address - Street 2:
Practice Address - City:VISALIA
Practice Address - State:CA
Practice Address - Zip Code:93292-1800
Practice Address - Country:US
Practice Address - Phone:559-289-4124
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-07-16
Last Update Date:2015-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95002708363LP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care