Brooke Neilly Vananne in Saint Louis - Physician Assistant
Brooke Neilly Vananne - NPI 1699757955
Brooke Neilly Vananne is a Physician Assistant in Saint Louis, Missouri. Brooke Neilly Vananne practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Brooke Neilly Vananne is 1699757955. The last update date is 2021-12-08.
Brooke Neilly Vananne's current location address is 660 S Euclid Ave, Saint Louis, Missouri. You can contact this provider via phone number 3147470410 and fax number 8779918954. The mailing address for Brooke Neilly Vananne is 660 S Euclid Ave, Saint Louis, Missouri. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Brooke Neilly Vananne |
|---|---|
| Address | 660 S Euclid Ave, Saint Louis, Missouri |
| Phone Number | 3147470410 |
| Fax Number | 8779918954 |
| Sole Proprietor | N |
| Credentials | PA |
NPI Number Detail
| NPI Number | 1699757955 |
|---|---|
| Provider Enumeration Date | 2005-11-14 |
| Last Updated Date | 2021-12-08 |
Provider Mailing Address Detail
| Address | 660 S Euclid Ave |
|---|---|
| City | Saint Louis |
| State | Missouri (MO) |
| Post Code | 631101010 |
| Phone Number | 3147470410 |
| Fax Number | 8779918954 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 2005030557 |
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Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 220050610 | MO | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Brooke Neilly Vananne?
The Brooke Neilly Vananne has been issued the NPI (National Provider Identifier) 1699757955 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you share the physical location details of Brooke Neilly Vananne?
The Brooke Neilly Vananne is situated at 660 S Euclid Ave, in the city of Saint Louis, state of MO, with the zip code 631101010.
When did Brooke Neilly Vananne receive its 1699757955 assignment?
The Brooke Neilly Vananne was assigned its 1699757955 on 2005-11-14, which is the date when this unique identifier was issued to the organization.
As of what date were the details pertaining to Brooke Neilly Vananne last refreshed?
The information related to the Brooke Neilly Vananne, including its address, specialty, and other relevant details, was last updated on 2021-12-08.
When was the information regarding Brooke Neilly Vananne, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Brooke Neilly Vananne, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2021-12-08.
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