Provider Demographics
NPI:1871845164
Name:VILLARI, NICOLLE C (APRN, NP-C)
Entity Type:Individual
Prefix:MS
First Name:NICOLLE
Middle Name:C
Last Name:VILLARI
Suffix:
Gender:F
Credentials:APRN, NP-C
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:1 MONARCH PL FL 10
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD
Mailing Address - State:MA
Mailing Address - Zip Code:01144-1099
Mailing Address - Country:US
Mailing Address - Phone:413-734-2000
Mailing Address - Fax:413-734-8000
Practice Address - Street 1:1 MONARCH PL FL 10
Practice Address - Street 2:
Practice Address - City:SPRINGFIELD
Practice Address - State:MA
Practice Address - Zip Code:01144-1099
Practice Address - Country:US
Practice Address - Phone:413-734-2000
Practice Address - Fax:413-734-8000
Is Sole Proprietor?:No
Enumeration Date:2012-10-10
Last Update Date:2014-11-25
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MARN2270881363LP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care