Individual
DR. NANCY S VANDER VELDE
Active
Individual
DR. NANCY S VANDER VELDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
D58947
MD
207RX0202X
Medical Oncology Physician
Primary
D58947
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
377201200
—
MD
01
—
C31152
R/R MEDICARE GROUP #
MD
01
—
P00136883
R/R MEDICARE PROVIDER #
MD
Enumeration date
06/14/2006
Last updated
08/16/2011
Update your record
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