Healthcare Provider Details

I. General information

NPI: 1609038330
Provider Name (Legal Business Name): MARY VANOYEN FORCE MS, ANP-BC, BSN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: MS. MARY E VANOYEN

II. Dates (important events)

Enumeration Date: 06/25/2008
Last Update Date: 02/28/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2125 E LA SALLE ST
COLORADO SPRINGS CO
80909-2274
US

IV. Provider business mailing address

2125 E LA SALLE ST
COLORADO SPRINGS CO
80909-2274
US

V. Phone/Fax

Practice location:
  • Phone: 719-219-3402
  • Fax:
Mailing address:
  • Phone: 719-219-3402
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number041317990
License Number StateIL
# 2
Primary TaxonomyN
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License Number209007044
License Number StateIL
# 3
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number209007044
License Number StateIL
# 4
Primary TaxonomyY
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License NumberAPN.0990591-NP
License Number StateCO
# 5
Primary TaxonomyN
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License NumberRN.1619124
License Number StateCO
# 6
Primary TaxonomyN
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number4704131231
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: