MRS. MARIA JOHANNA VAN VIANENRYDER


Address: Va Southern Nevada Heathcare System, 1841 E. Craig Road, North Las Vegas, NV 89036
Phone: 7026363000

MRS. MARIA JOHANNA VAN VIANENRYDER (NPI# 1528024593) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1528024593
Entity Type Individual
Full Name MRS. MARIA JOHANNA VAN VIANENRYDER
Credential A.N.P
Practice Address Va Southern Nevada Heathcare System
1841 E. Craig Road
North Las Vegas
NV 89036
Mailing Address 4851 Cutting Diamond Ct
North Las Vegas
NV 89081-3066
Practice Telephone 7026363000
Mailing Telephone 7025622173
Mailing Fax Number 7025622174
Enumeration Date 2006-04-26
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor X

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LA2200X Nurse Practitioner
Specialization: Adult Health
289204 CA Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address VA SOUTHERN NEVADA HEATHCARE SYSTEM
1841 E. CRAIG ROAD
City NORTH LAS VEGAS
State NV
Zip Code 89036

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1427141738 Linda W Sims Social Worker 912 W Owens, Va of Southern Nevada, North Las Vegas, NV 89036 2006-10-02
1124096284 Melissa A Palmer Radiology 901 Rancho Lane, Suite 103, Room 1406, Va Southern Nevada Healthcare System, North Las Vegas, NV 89036 2006-03-14
1700890548 John David Gilbertson Internal Medicine 816 West Owens Ave, Va North Clinic, Las Vegas, NV 89036-2516 2006-07-28
1609191394 Billy J Ha Dentist 6900 North Pecos Road, Las Vegas, NV 89036-6602 2010-04-06
1770664807 Lynn Ansher Psychologist 916 West Owens Avenue, North Las Vegas, NV 89036-8108 2006-10-17

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Taxonomy Information

Taxonomy Code 363LA2200X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Adult Health

Taxonomy Definition

Definition to come...

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NPI Name Taxonomy Address Enumeration
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Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
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Competitor

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City NORTH LAS VEGAS
Zip Code 89036

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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