Individual
VANESSA LANE TRIM
Active
Individual
VANESSA LANE TRIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APNP
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
195889
WI
363LF0000X
Family Nurse Practitioner
8841
WI
363LF0000X
Family Nurse Practitioner
Primary
9998
MN
Other
Enumeration date
02/02/2015
Last updated
03/30/2023
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