Individual
MRS. IRENE VANHOFWEGEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
272 E SAGEBRUSH ST, LITCHFIELD PARK, AZ 85340-4934
(623) 535-6000
(623) 523-8561
Mailing address
3810 N 195TH DR, BUCKEYE, AZ 85396-8308
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LP042775
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
164000000X
TAXONOMY
AZ
Enumeration date
03/06/2007
Last updated
03/06/2013
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