Individual
JULIA L VANA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP, CPNP
Contact information
Practice address
1600 NORTH MAIN, LOVINGTON, NM 88260-2830
(575) 396-6611
(575) 396-1454
Mailing address
1600 NORTH MAIN, LOVINGTON, NM 88260-2830
(575) 396-6611
(575) 396-1454
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
R0058464
OK
363LP0200X
Pediatric Nurse Practitioner
Primary
CNP-03021
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
91959004
—
NM
Enumeration date
03/12/2006
Last updated
03/10/2017
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