Provider Demographics
NPI:1831856319
Name:VILLEGAS, MAY CLAIRE LEGASPI (RN BSN PMHNP-BC)
Entity type:Individual
Prefix:
First Name:MAY CLAIRE
Middle Name:LEGASPI
Last Name:VILLEGAS
Suffix:
Gender:F
Credentials:RN BSN PMHNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7848 23RD LN SE
Mailing Address - Street 2:
Mailing Address - City:LACEY
Mailing Address - State:WA
Mailing Address - Zip Code:98503-3300
Mailing Address - Country:US
Mailing Address - Phone:850-524-2430
Mailing Address - Fax:
Practice Address - Street 1:7848 23RD LN SE
Practice Address - Street 2:
Practice Address - City:LACEY
Practice Address - State:WA
Practice Address - Zip Code:98503-3300
Practice Address - Country:US
Practice Address - Phone:850-524-2430
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-11-19
Last Update Date:2023-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95152913163WP0807X
WAAP61412061363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No163WP0807XNursing Service ProvidersRegistered NursePsychiatric/Mental Health, Child & Adolescent