| NPI | 1437884640 |
|---|---|
| Former Name | VANESSA CHANEL PEDERSEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL APRN11020556) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: UT 14201506-4405) |
| Enumeration Date | 2022-07-21 |
| Last Update Date | 2026-04-27 |