Individual
MRS. AMY VAN VOOREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
1705 S. TARBORO STREET, WILSON, NC 27893-3428
(252) 933-8928
(252) 399-7477
Mailing address
P O BOX 12156, NEWPORT NEWS, VA 23612-2156
(757) 867-6502
(757) 867-6588
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
103186
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2764245
MEDICARE CORE
NC
Enumeration date
10/04/2005
Last updated
03/07/2023
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