Provider Demographics
NPI:1477354306
Name:VILLALBA, STEPHANIE (DNP)
Entity type:Individual
Prefix:
First Name:STEPHANIE
Middle Name:
Last Name:VILLALBA
Suffix:
Gender:
Credentials:DNP
Other - Prefix:DR
Other - First Name:STEPHANIE
Other - Middle Name:
Other - Last Name:VILLALBA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:STEPHANIE ROBLES
Mailing Address - Street 1:7100 WESTWIND DR STE 120
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79912-1757
Mailing Address - Country:US
Mailing Address - Phone:915-740-4187
Mailing Address - Fax:
Practice Address - Street 1:7100 WESTWIND DR STE 120
Practice Address - Street 2:
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79912-1757
Practice Address - Country:US
Practice Address - Phone:915-249-4676
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-03-24
Last Update Date:2025-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1193612363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily