Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Georgina Laus Villacorta, NURSEPRACTITIONER

Individual provider Registered Nurse · NPI 1174192512

Georgina Laus Villacorta, NURSEPRACTITIONER is a Registered Nurse in Riverside, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2021
Specialties on file
2

Practice location Address checks out

8070 Jurupa Ave
Riverside, CA 92506
Phone: (155) 499-1933
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 95020330 (CA)
Registered Nurse Taxonomy 163W00000X · Licence 606009 (CA)

Record details

NPI number1174192512
Entity typeIndividual (Type 1)
GenderFemale
Credentials NURSEPRACTITIONER
Sole proprietorYes
NPI enumeratedJune 21, 2021
Last updated in NPPESJune 17, 2024
Certification dateJune 17, 2024

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