Provider Demographics
NPI:1922865526
Name:VILLALON, DAYANN (BSN, RN)
Entity Type:Individual
Prefix:
First Name:DAYANN
Middle Name:
Last Name:VILLALON
Suffix:
Gender:F
Credentials:BSN, RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:59 TRAFALGAR RD APT 7
Mailing Address - Street 2:
Mailing Address - City:NEW WINDSOR
Mailing Address - State:NY
Mailing Address - Zip Code:12553-7542
Mailing Address - Country:US
Mailing Address - Phone:845-420-5302
Mailing Address - Fax:
Practice Address - Street 1:59 TRAFALGAR RD APT 7
Practice Address - Street 2:
Practice Address - City:NEW WINDSOR
Practice Address - State:NY
Practice Address - Zip Code:12553-7542
Practice Address - Country:US
Practice Address - Phone:845-420-5302
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-03-01
Last Update Date:2024-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY848218163WH0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WH0200XNursing Service ProvidersRegistered NurseHome Health