Individual
JACQUELINE R VEGAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
7N, THE MEADOWS SHOPPING CENTER, TERRE HAUTE, IN 47803
(812) 237-0211
(812) 237-0182
Mailing address
1487 WATER MARK CT, TERRE HAUTE, IN 47803-7705
(812) 877-7237
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
28166214A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200314550
—
IN
Enumeration date
05/16/2006
Last updated
05/27/2010
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