MR. ELIZALDE LEGARDA VILLARUZ


Address: 1 Slate Hill Rd, Newton, NJ 07860-1113
Phone: 9733838865

MR. ELIZALDE LEGARDA VILLARUZ (NPI# 1124651203) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1124651203
Entity Type Individual
Full Name MR. ELIZALDE LEGARDA VILLARUZ
Credential APN
Practice Address 1 Slate Hill Rd
Newton
NJ 07860-1113
Practice Telephone 9733838865
Mailing Telephone 9733838865
Enumeration Date 2020-02-18
Last Update Date 2020-02-18
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LA2100X Nurse Practitioner
Specialization: Acute Care
2NJ00970500 NJ Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 1 SLATE HILL RD
City NEWTON
State NJ
Zip Code 07860-1113

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Taxonomy Information

Taxonomy Code 363LA2100X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Acute Care

Taxonomy Definition

Definition to come...

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1457709859 Amy Stutzman Nurse Practitioner 715 Medical Center Dr Ste 100, Newton, KS 67114-9056 2016-05-26
1366925521 Melanie K. Vilardo Nurse Practitioner 175 High St, Newton, NJ 07860-1004 2018-09-12
1275873184 Christine Gaggin Nurse Practitioner 2014 Washington St, Newton, MA 02462-1607 2013-03-01
1639214893 Jacqueline L Machain Nurse Practitioner 2014 Washington St, Green Mob Suite 561, Newton, MA 02462-1607 2007-02-21

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Competitor

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City NEWTON
Zip Code 07860

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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