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JULISSA ABIGAIL VILLALTA MARTINEZ
NPI 1285402933
Licensed Practical Nurse in Brentwood, NY

Active since December 12, 2023
5 CLARKE ST, BRENTWOOD, NY 11717(631) 575-9450 Get Directions Write a Review

NPPES record last updated: December 12, 2023. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Julissa Abigail Villalta Martinez NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JULISSA ABIGAIL VILLALTA MARTINEZ (NPI 1285402933) is an individual licensed practical nurse in Brentwood, New York, licensed in New York (349090-01) and active in the NPI registry since December 2023.

NPPES Registry Identity

NPI1285402933
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameJULISSA ABIGAIL VILLALTA MARTINEZ
Location Address5 CLARKE STBrentwood, NY 11717-2001
Mailing Address5 Clarke StBrentwood, NY 11717-2001 · (631) 575-9450
Phone(631) 575-9450
Sole ProprietorNo
Enumeration DateDecember 12, 2023
NPPES CertifiedDecember 12, 2023
✔ NPI 1285402933 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers
Taxonomy Code164W00000X
License✔ Licensed in NY · 349090-01
Definition
A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
5 CLARKE ST, Brentwood, NY 11717
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Julissa Villalta Martinez's NPI number?

The NPI number for Julissa Villalta Martinez is 1285402933. It was assigned to this individual provider in the NPPES registry on December 12, 2023.

Where is Julissa Villalta Martinez located?

Julissa Villalta Martinez practices at 5 Clarke St, Brentwood, NY 11717. The listed phone number is (631) 575-9450.

What is Julissa Villalta Martinez's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Julissa Villalta Martinez was last updated on December 12, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.