Individual
MRS. LINDA L VONWEDELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
444 FOUR STATES DR, STE 1, GALENA, KS 66379-4325
(620) 783-4441
(620) 783-4090
Mailing address
PO BOX 2546, JOPLIN, MO 64803-2546
(620) 783-4441
(620) 783-4090
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
108189
MO
363L00000X
Nurse Practitioner
Primary
53-45803-072
KS
363L00000X
Nurse Practitioner
R0056505
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
710894993
TAX ID
MO
01
—
R0056505
OKLAHOMA ARNP LICENSE
OK
Enumeration date
07/07/2006
Last updated
03/05/2014
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