Provider Demographics
NPI:1952672495
Name:VILLANUEVA, CATHERINE PAUIG
Entity Type:Individual
Prefix:MRS
First Name:CATHERINE
Middle Name:PAUIG
Last Name:VILLANUEVA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5133 GOLDSMITH ST APT 7A
Mailing Address - Street 2:
Mailing Address - City:ELMHURST
Mailing Address - State:NY
Mailing Address - Zip Code:11373-4275
Mailing Address - Country:US
Mailing Address - Phone:718-651-7251
Mailing Address - Fax:
Practice Address - Street 1:5133 GOLDSMITH ST APT 7A
Practice Address - Street 2:
Practice Address - City:ELMHURST
Practice Address - State:NY
Practice Address - Zip Code:11373-4275
Practice Address - Country:US
Practice Address - Phone:718-651-7251
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-01-13
Last Update Date:2012-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY604052163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse