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Individual

JAMIE D VANDENHEUVEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APNP

Contact information

Practice address
855 N WESTHAVEN DR, OSHKOSH, WI 54904-7668
(920) 303-8700
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
(920) 303-8700
(920) 456-7601

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
201714
WI
363L00000X
Nurse Practitioner
Primary
7805
WI
363LF0000X
Family Nurse Practitioner
7805
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100069820
WI
Enumeration date
06/06/2017
Last updated
12/20/2023
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