Doctor Name: | VANESSA DEANNE PRATT |
NPI Number: | 1164462172 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | APRN, BC |
License Number: | 133125 |
Business Practice Address: | 3937 Vogel Rd Arnold, MO - 630103798 |
Business Phone Number: | 8668253227 |
Business Fax Number: | |
Mailing Address: | 161 Washington St, 14th Floor, Suite 1400 CONSHOHOCKEN |
State: | PA |
Postal Code: | 194282083 |
Phone Number: | 8668253227 |
Fax Number: | |
NPI Enumeration Date: | 06/07/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 133125 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MO |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |