Individual
ANNE VANIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN,MS,CPNP,IBCLC
Contact information
Practice address
6780 MAYFIELD RD, MAYFIELD HEIGHTS, OH 44124-2203
(440) 312-5332
Mailing address
135 QUAIL HOLLOW DR, MORELAND HILLS, OH 44022-1140
(440) 893-0340
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
RN-296155
OH
363LP0200X
Pediatric Nurse Practitioner
NP-06564
OH
Other
Enumeration date
07/23/2007
Last updated
07/23/2007
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