Individual
LISA VANNOY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
102 N MAGDALEN ST STE 235, SAN ANGELO, TX 76903-5403
(325) 481-2281
Mailing address
PO BOX 22000, SAN ANGELO, TX 76902-7200
(325) 658-1511
(325) 481-2166
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP139615
TX
Other
Enumeration date
11/05/2018
Last updated
10/17/2022
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