Individual
DR. KERIANN MARIE VANNOSTRAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
200 W ARBOR DR, SAN DIEGO, CA 92103-9000
(800) 926-8273
Mailing address
PO BOX 232410, SAN DIEGO, CA 92193-2410
(800) 926-8273
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
C185447
CA
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
C185447
CA
207RP1001X
Pulmonary Disease Physician
Primary
C185447
CA
207RP1001X
Pulmonary Disease Physician
ME149422
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110074000
—
FL
01
—
819QM
BLUE CROSS BLUE SHIELD
FL
Enumeration date
07/03/2008
Last updated
06/29/2023
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