Provider / Organization | NPI | Date Certified |
---|---|---|
EDEN MARIE VILLIARD | 1164144937 | 2022-09-16 |
Eden Marie Villiard is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1164144937. Registration indicates Eden Marie Villiard is a provider of access to adult/geriatric primary care providers services with a specialization in Physician Assistants & Advanced Practice Nursing Providers, Nurse Practitioner Access to Pediatric Primary Care Providers (Physician Assistants & Advanced Practice Nursing Providers, Nurse Practitioner) (Physician Assistants & Advanced Practice Nursing Providers, Nurse Practitioner) (Nurse Practitioner: Primary Care, ) (All Other Specialties & Provider Types, ) (Nurse Practitioner Primary Care, Physician Assistants & Advanced Practice Nursing Providers) (Nurse Practitioner, )
Entity Type | Individual |
Provider Name | Mrs. Eden Marie Villiard FNP |
Practice Office Address | 6419 BRISTOL HWY PINEY FLATS, TN US |
Practice Office Telephone | 4235385202 |
Mailing Address | 133 BOONE RIDGE DR APT 79 JOHNSON CITY, TN 376155008 US |
Business Telephone | 2762200678 |
Code | Practice | License No State |
---|---|---|
363LP2300X PRIMARY | Access to Adult/Geriatric Primary Care Providers Physician Assistants & Advanced Practice Nursing Providers Nurse PractitionerAccess to Pediatric Primary Care Providers Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Nurse Practitioner: Primary Care All Other Specialties & Provider Types Nurse Practitioner Primary Care Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner | 32491
TN |