Individual
JONATHAN VAN NUYS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN, MS, ANP-BC
Contact information
Practice address
6189 SAN BRUNO CT, ROHNERT PARK, CA 94928-2804
(415) 637-9630
Mailing address
6189 SAN BRUNO CT, ROHNERT PARK, CA 94928-2804
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
23546
CA
Other
Enumeration date
12/12/2013
Last updated
12/12/2013
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