Individual
STEPHANIE VAN ERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NNP
Contact information
Practice address
700 E MARSHALL AVE, NICU, LONGVIEW, TX 75601-5580
(903) 315-2069
Mailing address
PO BOX 2701, LONGVIEW, TX 75606-2701
(903) 315-2504
Taxonomy
Speciality
Code
Description
License number
State
363LN0000X
Neonatal Nurse Practitioner
Primary
AP118308
TX
Other
Enumeration date
09/22/2009
Last updated
05/13/2021
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