Individual
VANESSA R VOUDRIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
211 S 3RD ST, BELLEVILLE, IL 62220-1915
(618) 234-6044
(618) 222-4636
Mailing address
211 S 3RD ST, BELLEVILLE, IL 62220-1915
(618) 234-6044
(618) 222-4636
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
209010402
IL
367500000X
Certified Registered Nurse Anesthetist
Primary
APRN11010881
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
91037
NBCRNA CERTIFICATION
IL
Enumeration date
05/28/2013
Last updated
12/09/2021
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