Provider Demographics
NPI:1922390970
Name:VOS, VIRGINIA G (LPN)
Entity Type:Individual
Prefix:
First Name:VIRGINIA
Middle Name:G
Last Name:VOS
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4653 MORMON RD
Mailing Address - Street 2:
Mailing Address - City:BURLINGTON
Mailing Address - State:WI
Mailing Address - Zip Code:53105-8705
Mailing Address - Country:US
Mailing Address - Phone:262-763-3790
Mailing Address - Fax:
Practice Address - Street 1:4653 MORMON RD
Practice Address - Street 2:
Practice Address - City:BURLINGTON
Practice Address - State:WI
Practice Address - Zip Code:53105-8705
Practice Address - Country:US
Practice Address - Phone:262-763-3790
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-05-10
Last Update Date:2011-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI30288331164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse