Vanevenhoven, Brooke

Vanevenhoven, Brooke is an individual health care provider with primary practice located at 220 Washington Ave , Oshkosh WI 54901-5030. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Vanevenhoven, Brooke can be contacted via phone (920) 236-4700.

Contact Information

Primary practice address
220 Washington Ave Oshkosh WI 54901-5030
Phone: (920) 236-4700
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 3314 Wisconsin
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 364SP0808X 3314-033 Wisconsin
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 3314-033 Wisconsin

Profile Details

NPI number 1851575864
LBN Legal business name Vanevenhoven, Brooke
Credentials APNP
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 27th, 2007
Last updated Mar 27th, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1851575864 NPPES
Wisconsin MEDICAID 42139300
Wisconsin MEDICAID 42156000

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