MEDICARE: MRS. MARIA JOHANNA VAN VIANENRYDER A.N.P

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	363LA2200X	Adult Health Nurse Practitioner	289204	CA

General Provider Information

NPI Number	:	1528024593
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. MARIA JOHANNA VAN VIANENRYDER A.N.P

Provider Business Mailing Address
First Line	:	4851 CUTTING DIAMOND CT
Second Line	:
City	:	NORTH LAS VEGAS
State	:	NV
Zip	:	89081-3066
Country	:	US
Telephone Number	:	702-562-2173
Fax Number	:	702-562-2174

Provider Business Practice Location Address
First Line	:	VA SOUTHERN NEVADA HEATHCARE SYSTEM
Second Line	:	1841 E. CRAIG ROAD
City	:	NORTH LAS VEGAS
State	:	NV
Zip	:	89036
Country	:	US
Telephone Number	:	702-636-3000
Fax Number	:

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

Provider Enumeration Date	:	04/26/2006
Last Update Date	:	07/08/2007

Similar Medicare Providers

1700890548 — DR. JOHN DAVID GILBERTSON MD
Practice Location Address:

816 WEST OWENS AVE , VA NORTH CLINIC
LAS VEGAS, NV
89036-2516

Practice Phone: 702-636-3000
Practice Fax: 702-636-3007

1427141738 — MS. LINDA W SIMS MSW LCSW LADC
Practice Location Address:

912 W OWENS , VA OF SOUTHERN NEVADA
NORTH LAS VEGAS, NV
89036

Practice Phone: 702-395-1447
Practice Fax:

1770664807 — DR. LYNN ANSHER PH.D.
Practice Location Address:

916 WEST OWENS AVENUE
NORTH LAS VEGAS, NV
89036-8108

Practice Phone: 702-636-4060
Practice Fax: 702-636-4079

1609191394 — DR. BILLY J HA DDS
Practice Location Address:

6900 NORTH PECOS ROAD
LAS VEGAS, NV
89036-6602

Practice Phone: 702-791-9019
Practice Fax:

1386583656 — ANDREA RENDIA BROWN
Practice Location Address:

1414 E LAKE MEAD BLVD
NORTH LAS VEGAS, NV
89036-9601

Practice Phone: 702-664-7318
Practice Fax:

1073523221 — VA
Practice Location Address:

916 W. OWENS AVE. LAS VEGAS NV 89036
LAS VEGAS, NV
89117

Practice Phone: 702-636-3000
Practice Fax:

Directions to “ MRS. MARIA JOHANNA VAN VIANENRYDER A.N.P” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.