Individual
PHUONG VANVLEET
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
4219 GATEWAY BLVD, NEWBURGH, IN 47630-7925
(812) 426-9545
Mailing address
PO BOX 1510, EVANSVILLE, IN 47706-1510
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
71013242A
IN
Other
Enumeration date
11/08/2022
Last updated
11/08/2022
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