| NPI | 1306015417 |
|---|---|
| Other Name | MARK L. VANOVER |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OR 201500476NP-PP) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA NP 17478) |
| Enumeration Date | 2008-02-22 |
| Last Update Date | 2016-09-22 |