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NPI Code Detail

MEDICARE: MRS. NENGLEE VANG MSC

MEDICARE: MRS. NENGLEE VANG MSC
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
1104100000XSocial Worker

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 : 1811146798
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. NENGLEE VANG MSC
Provider Business Mailing Address
First Line : P.O. BOX 23825
Second Line :
City : GREEN BAY
State : WI
Zip : 54305-3825
Country : US
Telephone Number : 920-272-8234
Fax Number : 920-437-4067
Provider Business Practice Location Address
First Line : 1825 RIVERSIDE DRIVE
Second Line :
City : GREEN BAY
State : WI
Zip : 54305-3825
Country : US
Telephone Number : 920-272-8234
Fax Number : 920-437-4067
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/16/2008
Last Update Date : 09/16/2008

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Directions to “ MRS. NENGLEE VANG MSC” Practice Location

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