Most Relevant Information
Provider Data
| NPI Number: | 1003466483 |
| Provider Name: | BRANDIE ANN VILLANOVA CPNP-PC |
| Entity Type: | Individual |
| Taxonomy Code: | 363LP0200X |
| Specialty: | Nurse Practitioner |
| License Number: | RN215790 |
Most Important Dates
| Enumeration Date: | 09/17/2019 |
| Last Updated: | 09/17/2019 |
Provider Practice Location
130 ENTERPRISE PKWY
MCDONOUGH
GA
302539000
Practice Location Phone/Fax
| Phone: | 6785839071 |
| Fax: |
Provider Mailing Location
130 ENTERPRISE PKWY
MCDONOUGH
GA
302539000
Provider Mailing Phone/Fax
| Phone: | 6785839071 |
| Fax: |