Provider Demographics
NPI:1831479252
Name:VILLARREAL, CECILIA SIMMONS (RN, MSN, FNP-C)
Entity Type:Individual
Prefix:MRS
First Name:CECILIA
Middle Name:SIMMONS
Last Name:VILLARREAL
Suffix:
Gender:F
Credentials:RN, MSN, FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2050 N EXPRESSWAY
Mailing Address - Street 2:
Mailing Address - City:BROWNSVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:78521-1540
Mailing Address - Country:US
Mailing Address - Phone:956-621-2883
Mailing Address - Fax:956-550-8955
Practice Address - Street 1:2050 N EXPRESSWAY
Practice Address - Street 2:
Practice Address - City:BROWNSVILLE
Practice Address - State:TX
Practice Address - Zip Code:78521-1540
Practice Address - Country:US
Practice Address - Phone:956-621-2883
Practice Address - Fax:956-550-8955
Is Sole Proprietor?:Yes
Enumeration Date:2011-08-17
Last Update Date:2011-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX573620363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily