Most Relevant Information
Provider Data
| NPI Number: | 1003683145 |
| Provider Name: | BIANCA VILLALOBOS RN BSN |
| Entity Type: | Individual |
| Taxonomy Code: | 163W00000X |
| Specialty: | Registered Nurse |
| License Number: | 169048 |
Most Important Dates
| Enumeration Date: | 12/08/2023 |
| Last Updated: | 12/08/2023 |
Provider Practice Location
830 W CENTRAL AVE
MISSOULA
MT
598017931
Practice Location Phone/Fax
| Phone: | 4068299515 |
| Fax: |
Provider Mailing Location
1515 ASHBERRY CT APT 4
MISSOULA
MT
598018357
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |