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Contact Information

VENEDA K VANN, NP
1200 S ROGERS ST
BLOOMINGTON, IN47403-4792
 Phone: 812-339-6434
 Fax: 812-331-0196
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nurse Practitioner

363L00000X 50 Nurse Practitioner
 

Dermatology

207N00000X 07 Physician/Dermatology
Indicates primary specialty

NPI Profile & details for VENEDA K VANN · (Female)

NPI # 1811007495
Status Active
Credentials NP (Nurse Practitioner)
Entity Individual
Enumeration date 08/30/2006
Last updated 02/02/2024 - About 2 years ago
Sole proprietor 1 No
Identifiers
  • IN License # 71001575A
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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