Individual
MIRANDA JEAN VANZANDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1 HAIRPIN DR, EDWARDSVILLE, IL 62026-0001
(628) 650-3956
Mailing address
1 HAIRPIN DR, EDWARDSVILLE, IL 62026-0001
(628) 650-3956
Taxonomy
Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
041482946
IL
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
12/26/2024
Last updated
12/26/2024
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