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

Meredith Villarreal

Individual provider Family Nurse Practitioner · NPI 1366819401

Meredith Villarreal is a Nurse Practitioner in Glendale, Arizona. Qualified in 2015, 11 years ago. Practices with Innovative Platinum Care, SC, a 19-clinician group and accepts Medicare assignment. Licensed in Arizona.

Years since qualifying
11
Licensed in
AZ
In the registry since
2015
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Practice location Address checks out

5048 W Northern Ave Ste 106
Glendale, AZ 85301-1558
Phone: (623) 435-0190
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence AP7994 (AZ)

Record details

NPI number1366819401
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedAugust 24, 2015
Last updated in NPPESAugust 24, 2015
Mailing address4140 N Central Ave, 2057, Phoenix, AZ 85012-1830

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Innovative Platinum Care, Sc — 19 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in Glendale