IndividualActive
Marisol Villacis
NPI 1306461306 · Pediatric Registered Nurse · Gallup, NM
Provider details
- NPI number
- 1306461306
- Entity type
- Individual
- Primary specialty
- Pediatric Registered NurseNursing Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 9256240 (FL)
Mailing address
15105 Sw 109th St
Miami, FL 33196-4347
Registry dates
- Enumerated
- 2020-06-15
- Last updated
- 2020-06-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.