Individual
KELLY RENEE VAN ASSCHE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
A.R.N.P.
Contact information
Practice address
5825 PLANK RD STE 105, FREDERICKSBURG, VA 22407-5207
(540) 785-3448
Mailing address
555 W KINZIE ST, APT 2311, CHICAGO, IL 60654-5727
(540) 435-6224
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
209013843
IL
363LA2100X
Acute Care Nurse Practitioner
4704340907
MI
363LA2100X
Acute Care Nurse Practitioner
ARNP9325787
FL
363LF0000X
Family Nurse Practitioner
Primary
0024182844
VA
Other
Enumeration date
03/18/2013
Last updated
09/05/2024
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