Individual
DR. MARY NANCY VAN AMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DNP, RN, FNP-BC
Contact information
Practice address
816 BIG BEND WOODS DR, BALLWIN, MO 63021-7555
(314) 412-0898
Mailing address
816 BIG BEND WOODS DR, BALLWIN, MO 63021-7555
(314) 412-0898
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2010012193
MO
Other
Enumeration date
11/24/2013
Last updated
11/24/2013
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