Provider Demographics
NPI:1982300521
Name:VILLAESCUSA, MARGARITA (REGISTERED NURSE)
Entity Type:Individual
Prefix:
First Name:MARGARITA
Middle Name:
Last Name:VILLAESCUSA
Suffix:
Gender:F
Credentials:REGISTERED NURSE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:570 LITO GALINDO
Mailing Address - Street 2:
Mailing Address - City:RIO RICO
Mailing Address - State:AZ
Mailing Address - Zip Code:85648
Mailing Address - Country:US
Mailing Address - Phone:520-375-8708
Mailing Address - Fax:
Practice Address - Street 1:570 LITO GALINDO
Practice Address - Street 2:
Practice Address - City:RIO RICO
Practice Address - State:AZ
Practice Address - Zip Code:85648
Practice Address - Country:US
Practice Address - Phone:520-375-8708
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-02-06
Last Update Date:2023-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ232956163WS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WS0200XNursing Service ProvidersRegistered NurseSchool