Most Relevant Information
Provider Data
| NPI Number: | 1003589508 |
| Provider Name: | DIANE VILLAYURAN DNP, FNP-C |
| Entity Type: | Individual |
| Taxonomy Code: | 363LF0000X |
| Specialty: | Nurse Practitioner |
| License Number: | 95017912 |
Most Important Dates
| Enumeration Date: | 07/29/2021 |
| Last Updated: | 07/29/2021 |
Provider Practice Location
1652 CAMINO DEL RIO N
SAN DIEGO
CA
921081514
Practice Location Phone/Fax
| Phone: | 8002343325 |
| Fax: |
Provider Mailing Location
1652 CAMINO DEL RIO N
SAN DIEGO
CA
921081514
Provider Mailing Phone/Fax
| Phone: | 8002343325 |
| Fax: |