| NPI | 1609038330 |
|---|---|
| Former Name | MARY E VANOYEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: CO APN.0990591-NP) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 041317990) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: IL 209007044) | |
| 363L00000X Nurse Practitioner (Licence: IL 209007044) | |
| 261Q00000X Clinic/Center (Licence: CO RN.1619124) | |
| 261Q00000X Clinic/Center (Licence: MI 4704131231) | |
| Enumeration Date | 2008-06-25 |
| Last Update Date | 2017-02-28 |