Provider Demographics
NPI:1710633201
Name:VILLAMAYOR, CHRISTINE (APN)
Entity Type:Individual
Prefix:
First Name:CHRISTINE
Middle Name:
Last Name:VILLAMAYOR
Suffix:
Gender:F
Credentials:APN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:205 9TH ST
Mailing Address - Street 2:
Mailing Address - City:JERSEY CITY
Mailing Address - State:NJ
Mailing Address - Zip Code:07302-1704
Mailing Address - Country:US
Mailing Address - Phone:201-653-1144
Mailing Address - Fax:201-653-6104
Practice Address - Street 1:205 9TH ST
Practice Address - Street 2:
Practice Address - City:JERSEY CITY
Practice Address - State:NJ
Practice Address - Zip Code:07302-1704
Practice Address - Country:US
Practice Address - Phone:201-653-1144
Practice Address - Fax:201-653-6104
Is Sole Proprietor?:No
Enumeration Date:2022-02-23
Last Update Date:2023-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NR21022800163W00000X
NJNUR2023000117363L00000X
NJ26NJ01467200363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner