Individual
JOHN VIENHAGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
4575 BYRD DR, LOVELAND, CO 80538-7198
(970) 593-3300
Mailing address
2853 39TH AVE, GREELEY, CO 80634-8356
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
1636892
CO
Other
Enumeration date
04/18/2024
Last updated
04/18/2024
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