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

Marisol Villacis

Individual provider Pediatric Registered Nurse · NPI 1306461306

Marisol Villacis is a Pediatric Registered Nurse in Gallup, New Mexico. Licensed in Florida. Registered with an NPI since 2020.

Licensed in
FL
In the registry since
2020

Practice location Address checks out

516 E Nizhoni Blvd
Gallup, NM 87301-5748
Phone: (505) 722-1790
Show map & directions

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

Specialties & licences

Pediatric Registered Nurse (primary) Taxonomy 163WP0200X · Licence 9256240 (FL)

Record details

NPI number1306461306
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJune 15, 2020
Last updated in NPPESJune 15, 2020
Certification dateJune 15, 2020
Mailing address15105 Sw 109th St, Miami, FL 33196-4347

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