=====================================================
General NPI Number Information
=====================================================
NPI Number | 1215701354
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | VN HEALTH LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 11/09/2023
-----------------------------------------------------
Last Update Date | 11/09/2023
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 2500 WRANGLE HILL RD
-----------------------------------------------------
City | BEAR
-----------------------------------------------------
State | DE
-----------------------------------------------------
Zip | 19701-3836
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 302-793-9391
-----------------------------------------------------
Fax | 302-525-4780
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 3604 MILLER RD
-----------------------------------------------------
City | WILMINGTON
-----------------------------------------------------
State | DE
-----------------------------------------------------
Zip | 19802-2524
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 302-793-9391
-----------------------------------------------------
Fax | 302-525-4780
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | MANAGER
-----------------------------------------------------
Name | AUTHERINE VISSY-STERLING
-----------------------------------------------------
Credential | FNP
-----------------------------------------------------
Telephone | 302-793-9391
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 363LF0000X
-----------------------------------------------------
Taxonomy Name | Family Nurse Practitioner
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------