Individual
ELIZABETH VANWAGENEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN 320463
Contact information
Practice address
143 BROWNS VALLEY RD, WATSONVILLE, CA 95076-0325
(831) 728-3285
(831) 728-5900
Mailing address
143 BROWNS VALLEY RD, WATSONVILLE, CA 95076-0325
(831) 728-3285
(831) 728-5900
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
31403
CA
163WH0200X
Home Health Registered Nurse
Primary
320463
CA
Other
Enumeration date
07/29/2016
Last updated
07/29/2016
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