NPI 1053721951

Philip Vanos, RN

Practitioner Registered Nurse Bartow, FL

Practice location

Address: 1255 Golfview Ave, Bartow, FL 33830-6736
Phone: (863) 519-0575
Mailing address: PO Box 1559, Bartow, FL 33831-1559

Registered specialties

Registered Nurse Primary

Nursing Service Providers Taxonomy 163W00000X Licence RN3151472 (FL)

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Registry record

NPI: 1053721951
Entity type: Individual
Sex (as registered): Male
NPI issued: 30 Apr 2014
Record last updated: 30 Apr 2014

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.