Individual
DR. MARIA VAN-NURDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
2100 LITTLE MOUNTAIN LN, MOUNT VERNON, WA 98274-8752
(360) 416-6735
(360) 424-6954
Mailing address
2100 LITTLE MOUNTAIN LN, MOUNT VERNON, WA 98274-8752
(360) 416-6735
(360) 424-6954
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
MN2722
MN
152W00000X
Optometrist
OD00003472WA
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
108405400
—
MN
01
—
1547620
AMERICA'S PPO
MN
01
—
183M0VA
BCBS/MN
MN
01
—
2201774
MEDICA/UNITED HEALTH CARE
MN
01
—
MN2722
EYEMED
MN
Enumeration date
09/07/2006
Last updated
12/02/2020
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