Provider Demographics
NPI:1124707716
Name:VILLAROMAN, SHEENA MARIE M (APRN, FNP-BC)
Entity type:Individual
Prefix:
First Name:SHEENA MARIE
Middle Name:M
Last Name:VILLAROMAN
Suffix:
Gender:F
Credentials:APRN, FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4040 N MARTIN L KING BLVD STE A
Mailing Address - Street 2:
Mailing Address - City:N LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89032-3205
Mailing Address - Country:US
Mailing Address - Phone:702-644-4673
Mailing Address - Fax:
Practice Address - Street 1:4040 N MARTIN L KING BLVD STE A
Practice Address - Street 2:
Practice Address - City:N LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89032-3205
Practice Address - Country:US
Practice Address - Phone:702-644-4673
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-07-12
Last Update Date:2024-11-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA61446088363LF0000X
NV870858363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily