Provider Demographics
NPI:1952326076
Name:CURRY, VANESSA LYNDEL (NP)
Entity Type:Individual
Prefix:MISS
First Name:VANESSA
Middle Name:LYNDEL
Last Name:CURRY
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:625 W SOUTHERN AVE STE E
Mailing Address - Street 2:
Mailing Address - City:MESA
Mailing Address - State:AZ
Mailing Address - Zip Code:85210-5018
Mailing Address - Country:US
Mailing Address - Phone:602-483-6356
Mailing Address - Fax:602-563-8144
Practice Address - Street 1:625 W SOUTHERN AVE STE E
Practice Address - Street 2:
Practice Address - City:MESA
Practice Address - State:AZ
Practice Address - Zip Code:85210-5018
Practice Address - Country:US
Practice Address - Phone:602-483-6356
Practice Address - Fax:602-563-8144
Is Sole Proprietor?:No
Enumeration Date:2006-07-12
Last Update Date:2020-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NMR54723363LP0808X
AZRN000099100363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
P85529Medicare UPIN