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:
Health care specialties
Specialty | Code | License # | 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 2 years ago |
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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1851575864 | NPPES |
Wisconsin | MEDICAID | 42139300 | |
Wisconsin | MEDICAID | 42156000 |
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