| Doctor Name: | MR. JOSHUA ANDRE VENDIG |
| NPI Number: | 1093936247 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | FNP |
| License Number: | 10655 |
| Business Practice Address: | 52 N Tu Su Ln Bishop, CA - 935148058 |
| Business Phone Number: | 7608738461 |
| Business Fax Number: | 7608733908 |
| Mailing Address: | 52 N Tu Su Ln, BISHOP |
| State: | CA |
| Postal Code: | 935148058 |
| Phone Number: | 7608738461 |
| Fax Number: | 7608733908 |
| NPI Enumeration Date: | 05/02/2007 |
| NPI Last Update Date: | 04/25/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 10655 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |