MEDICARE: VANESSA SOLOMON ARNP, FNP-BC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LP0200X	Pediatric Nurse Practitioner	APRN9248682	FL
2	363LF0000X	Family Nurse Practitioner	ARNP9248682	FL
3	363LF0000X	Family Nurse Practitioner	A129973	IA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	A129973	OTHER	IA	IA DOH
2	APRN9248682	OTHER	FL	FL DOH
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1174022354
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	VANESSA SOLOMON ARNP, FNP-BC

Provider Business Mailing Address
First Line	:	1940 BLAIRS FERRY RD STE 104
Second Line	:
City	:	HIAWATHA
State	:	IA
Zip	:	52233-2076
Country	:	US
Telephone Number	:	319-393-0178
Fax Number	:

Provider Business Practice Location Address
First Line	:	1940 BLAIRS FERRY RD STE 104
Second Line	:
City	:	HIAWATHA
State	:	IA
Zip	:	52233-2076
Country	:	US
Telephone Number	:	319-393-0178
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/02/2018
Last Update Date	:	06/30/2023

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