Van Valkenburg, Ann C

Van Valkenburg, Ann C is an sole proprietor health care provider with primary practice located at 400 W 16Th St , Pueblo CO 81003-2745. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as her primary health care specialty. Van Valkenburg, Ann C can be contacted via phone (719) 543-7877.

Contact Information

Primary practice address
400 W 16Th St Pueblo CO 81003-2745
Phone: (719) 543-7877
Fax: (719) 543-7882
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 97861 Colorado

Profile Details

NPI number 1164420543
LBN Legal business name Van Valkenburg, Ann C
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 11th, 2005
Last updated Nov 5th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1164420543 NPPES
Colorado MEDICAID 07978612

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