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Roberta Carol Villa, RN
Licensed Practical Nurse in Warm Springs, Oregon
NPI 1821306085

Roberta Carol Villa is a Licensed Practical Nurse based in Warm Springs, OR. Roberta Carol Villa practices in Warm Springs, OR and has the professional credentials of RN. The NPI Number for Roberta Carol Villa is 1821306085 and holds a License No. 83433 (Oregon).

The current practice location address for Roberta Carol Villa is 1270 Kot-Num Road, Warm Springs, OR and can be reached out via phone at 541-553-1196 and via fax at 541-553-2135.

Location: 1270 Kot-Num Road, Warm Springs, OR, 97761-1209
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1821306085
Provider Name
Roberta Carol Villa
Credential
RN
Provider Entity Type
Individual
Gender
Female
Address
1270 Kot-Num Road, Warm Springs, OR, 97761-1209
Phone Number
541-553-1196
Fax Number
541-553-2135
Provider Enumeration Date
09/21/2010
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
MCR HS2204 01 MEDICARE
273855 05 OR
institution
Provider Business Practice Location Address Details
Address
1270 Kot-Num Road
City
Warm Springs
State
Oregon
Zip
97761
Phone Number
541-553-1196
Fax Number
541-553-2135
person
Provider Business Mailing Address Details
Address
1270 Kot-Num Road
City
Warm Springs
State
Oregon
Zip
97761
Phone Number
541-553-1196
Fax Number
541-553-2135
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Practical Nurse
Speciality
-
Taxonomy
164W00000X
License No.
83433 (Oklahoma)
Definition
An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
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