Individual
THERESA MARIE VANBECELAERE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
A.R.N.P.
Contact information
Practice address
1701 S BROADWAY ST, PITTSBURG STATE UNIVERSITY, STUDENT HEALTH CENTER, PITTSBURG, KS 66762-5856
(620) 235-4452
(620) 235-6135
Mailing address
1701 S BROADWAY ST, PITTSBURG STATE UNIVERSITY, STUDENT HEALTH CENTER, PITTSBURG, KS 66762-5856
(620) 235-4452
(620) 235-6135
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
53-75540-062
KS
Other
Enumeration date
11/02/2011
Last updated
11/11/2011
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