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NPI Code Detail

MEDICARE: JOHN JOSEPH VAN NOSTRAND JR. NP-C

MEDICARE: JOHN JOSEPH VAN NOSTRAND JR. NP-C
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 Practitioner0993151CO

General Provider Information

NPI Number : 1699295725
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOHN JOSEPH VAN NOSTRAND JR. NP-C
Provider Business Mailing Address
First Line : 907 VITOS WAY
Second Line :
City : CARBONDALE
State : CO
Zip : 81623-2822
Country : US
Telephone Number : 970-618-4970
Fax Number :
Provider Business Practice Location Address
First Line : 1906 BLAKE AVE
Second Line :
City : GLENWOOD SPRINGS
State : CO
Zip : 81601-4227
Country : US
Telephone Number : 970-945-6535
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/20/2017
Last Update Date : 02/05/2026

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