Individual
ADAM VANEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1061 HARMON AVE, FORT STEWART, GA 31314-5641
(912) 435-6854
Mailing address
1061 HARMON AVE, FORT STEWART, GA 31314
(912) 435-6854
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
49831
NE
363LA2100X
Acute Care Nurse Practitioner
Primary
9308293
FL
364SC0200X
Critical Care Medicine Clinical Nurse Specialist
114086
NE
Other
Enumeration date
07/18/2015
Last updated
07/18/2015
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