Individual
MARY LYNN VAN VONDEREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, CNP
Contact information
Practice address
2509 COUNTY HIGHWAY I, CHIPPEWA FALLS, WI 54729-2785
(920) 496-4700
Mailing address
2509 COUNTY HIGHWAY I, CHIPPEWA FALLS, WI 54729-2785
(920) 496-4700
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
141854
WI
363L00000X
Nurse Practitioner
Primary
3519-33
WI
Other
Enumeration date
10/10/2008
Last updated
03/14/2023
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