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Individual
VANDE COX
Active
Individual
VANDE COX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CFNP
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
1100617
KY
363LF0000X
Family Nurse Practitioner
Primary
71000679A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1100617
KY LICENSE
KY
01
—
71000679A
IN LICENSE
IN
01
—
P00897777
RR MEDICARE
IN
Enumeration date
08/03/2005
Last updated
09/13/2011
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