Individual
MS. DAVEDA C VOSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
630 LOCUST ST, CARTHAGE, IL 62321-1459
(217) 357-2173
(217) 357-3610
Mailing address
630 LOCUST ST, CARTHAGE, IL 62321-1459
(217) 357-2173
(217) 357-3610
Taxonomy
Speciality
Code
Description
License number
State
163WP0000X
Pain Management Registered Nurse
041.228009
IL
363LF0000X
Family Nurse Practitioner
Primary
209.007703
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
209.007703
STATE LICENSE
IL
Enumeration date
10/13/2009
Last updated
09/30/2011
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