Individual
ALYSON VANYA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP-PC
Contact information
Practice address
1008 DICKERSON DR, JASPER, TX 75951-5111
(409) 489-9322
Mailing address
1008 DICKERSON DR, JASPER, TX 75951-5111
(409) 489-9322
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
AP139783
TX
Other
Enumeration date
11/20/2018
Last updated
03/22/2021
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