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Individual

DR. NANCY S VANDER VELDE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
1601 PERDIDO ST, ATTN: MEDICINE OFFICE, NEW ORLEANS, LA 70112-1262
(504) 553-2143
(504) 553-2113
Mailing address
1601 PERDIDO ST, ATTN: MEDICINE OFFICE, NEW ORLEANS, LA 70112-1262
(504) 553-2143
(504) 553-2113

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
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