Provider Demographics
NPI:1629853908
Name:VILLALOBOS, JANAIRA (MSN, APRN, FNP-BC)
Entity Type:Individual
Prefix:MS
First Name:JANAIRA
Middle Name:
Last Name:VILLALOBOS
Suffix:
Gender:F
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 1:440 E SAMPLE RD STE 206
Mailing Address - Street 2:
Mailing Address - City:POMPANO BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33064-4440
Mailing Address - Country:US
Mailing Address - Phone:754-243-5141
Mailing Address - Fax:
Practice Address - Street 1:440 E SAMPLE RD
Practice Address - Street 2:
Practice Address - City:POMPANO BEACH
Practice Address - State:FL
Practice Address - Zip Code:33064-4444
Practice Address - Country:US
Practice Address - Phone:754-243-5141
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-08-25
Last Update Date:2023-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAPRN11023899363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily