Individual
VONETTA M VORIES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
314 N MAIN ST, PRINCETON, IN 47670-1514
(812) 385-1071
(812) 385-8793
Mailing address
314 N MAIN ST, PRINCETON, IN 47670-1514
(812) 385-1071
(812) 385-8793
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
71001190A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200884570
—
IN
01
—
200922190
GROUP MEDICAID NUMBER
IN
01
—
201092760B
MEDICAID GROUP
IN
01
—
258190
GROUP MEDICARE NUMBER
IN
Enumeration date
05/24/2007
Last updated
05/19/2015
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