Individual
MS. NINA VAN ES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1015 WEBBER ST STE 100, THE DALLES, OR 97058
(541) 296-4804
(541) 296-3741
Mailing address
1015 WEBBER ST, STE 100, THE DALLES, OR 97058-3527
(541) 296-4804
(541) 296-3741
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
200150061NP
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
276457
—
OR
05
—
9634841
—
WA
Enumeration date
03/08/2006
Last updated
07/16/2018
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