Provider Demographics
NPI:1316426786
Name:VILLATORO, EVELYN ROXANN (MSN, APRN, FNP-BC)
Entity type:Individual
Prefix:MRS
First Name:EVELYN
Middle Name:ROXANN
Last Name:VILLATORO
Suffix:
Gender:F
Credentials:MSN, APRN, FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:341 WHEATFIELD DR STE 100
Mailing Address - Street 2:
Mailing Address - City:SUNNYVALE
Mailing Address - State:TX
Mailing Address - Zip Code:75182-4639
Mailing Address - Country:US
Mailing Address - Phone:972-285-0221
Mailing Address - Fax:972-285-0223
Practice Address - Street 1:341 WHEATFIELD DR STE 100
Practice Address - Street 2:
Practice Address - City:SUNNYVALE
Practice Address - State:TX
Practice Address - Zip Code:75182-4639
Practice Address - Country:US
Practice Address - Phone:972-285-0221
Practice Address - Fax:972-285-0223
Is Sole Proprietor?:No
Enumeration Date:2018-08-07
Last Update Date:2021-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP138113363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily