# MARIA VANEEZA SANTIAGO

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1790235141
- **Gender:** F
- **Credential:** CRNP

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163W00000X | Registered Nurse | RN556914 | PA | — |
| 363L00000X | Nurse Practitioner | SP016665 | PA | Yes |

## Other

- **Enumeration date:** 10/10/2016
- **Last updated:** 12/23/2019

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1031963710001 | — | PA |
| 01 | — | 540189F6K | MEDICARE | PA |