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NPI Code Detail

MEDICARE: ANNETTE DIANE VANANNE ARNP, CNM

MEDICARE:   ANNETTE DIANE VANANNE  ARNP, CNM
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
1363LF0000XFamily Nurse Practitioner220441OK
2363LF0000XFamily Nurse Practitioner45194KS

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1386846475
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANNETTE DIANE VANANNE ARNP, CNM
Provider Business Mailing Address
First Line : PO BOX 1832
Second Line :
City : PITTSBURG
State : KS
Zip : 66762-1832
Country : US
Telephone Number : 888-777-9170
Fax Number : 620-232-5819
Provider Business Practice Location Address
First Line : 2051 N STATE ST
Second Line :
City : IOLA
State : KS
Zip : 66749-1677
Country : US
Telephone Number : 620-380-6600
Fax Number : 620-380-6215
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/01/2007
Last Update Date : 12/18/2024

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Directions to “ ANNETTE DIANE VANANNE ARNP, CNM” Practice Location

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