Individual
ANNETTE DIANE VANANNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP, CNM
Contact information
Practice address
2051 N STATE ST, IOLA, KS 66749-1677
(620) 380-6600
(620) 380-6215
Mailing address
PO BOX 1832, PITTSBURG, KS 66762-1832
(888) 777-9170
(620) 232-5819
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
220441
OK
363LF0000X
Family Nurse Practitioner
Primary
45194
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100404580C
—
KS
Enumeration date
06/01/2007
Last updated
12/18/2024
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