Terry Villano

Individual provider Active NPI Community Health Registered Nurse · Deale, MD

NPI 1043433436 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1043433436
Entity type
Individual (NPI type 1)
Primary specialty
Community Health Registered Nurse 163WC1500X
License
R078590 (MD)
Practice address
6001 Parker Dr
Deale, MD 20751-9615
Phone
(301) 261-5323
NPI assigned
Apr 11, 2007
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
R078590MDMDCommunity Health Registered Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Registered Nurse 163WC1500X R078590 MD Yes

Addresses

Primary practice location

6001 Parker Dr
Deale, MD 20751-9615

Mailing address

6001 Parker Dr
Deale, MD 20751-9615

Other providers in Deale, MD

All providers in Deale, MD · Community Health Registered Nurse in Maryland

Sources for this page

Verify at the official NPI Registry.