Individual
MRS. MARIA JOHANNA VAN VIANENRYDER
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
A.N.P
Contact information
Practice address
VA SOUTHERN NEVADA HEATHCARE SYSTEM, 1841 E. CRAIG ROAD, NORTH LAS VEGAS, NV 89036
(702) 636-3000
Mailing address
4851 CUTTING DIAMOND CT, NORTH LAS VEGAS, NV 89081-3066
(702) 562-2173
(702) 562-2174
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
289204
CA
Other
Enumeration date
04/26/2006
Last updated
07/08/2007
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