Provider Demographics
NPI:1154752483
Name:VILLEGAS, JOANNE HARTMANN (CNP)
Entity type:Individual
Prefix:MRS
First Name:JOANNE
Middle Name:HARTMANN
Last Name:VILLEGAS
Suffix:
Gender:F
Credentials:CNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:25181 COLUMBUS RD
Mailing Address - Street 2:
Mailing Address - City:BEDFORD
Mailing Address - State:OH
Mailing Address - Zip Code:44146-2540
Mailing Address - Country:US
Mailing Address - Phone:216-924-6867
Mailing Address - Fax:
Practice Address - Street 1:25181 COLUMBUS RD
Practice Address - Street 2:
Practice Address - City:BEDFORD
Practice Address - State:OH
Practice Address - Zip Code:44146-2540
Practice Address - Country:US
Practice Address - Phone:216-924-6867
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-12-12
Last Update Date:2022-05-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZAP8740363LP0808X
OHCOA.15683-NP363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health