Provider Demographics
NPI:1649552530
Name:PENARANDA, NATALIE LEE VILLANUEVA (MD)
Entity type:Individual
Prefix:
First Name:NATALIE
Middle Name:LEE VILLANUEVA
Last Name:PENARANDA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1201 BROAD ROCK BLVD
Mailing Address - Street 2:GHCC
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23224-4915
Mailing Address - Country:US
Mailing Address - Phone:240-421-3750
Mailing Address - Fax:240-421-3750
Practice Address - Street 1:1201 BROAD ROCK BLVD
Practice Address - Street 2:GHCC
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23224-4915
Practice Address - Country:US
Practice Address - Phone:804-675-5553
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-09-15
Last Update Date:2015-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital