Provider Demographics
NPI:1780097139
Name:VANEGAS, KATALIN (APNP)
Entity type:Individual
Prefix:
First Name:KATALIN
Middle Name:
Last Name:VANEGAS
Suffix:
Gender:F
Credentials:APNP
Other - Prefix:
Other - First Name:KATALIN
Other - Middle Name:
Other - Last Name:VANEGAS
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DNP,ARNP
Mailing Address - Street 1:122 E COLLEGE AVE
Mailing Address - Street 2:
Mailing Address - City:APPLETON
Mailing Address - State:WI
Mailing Address - Zip Code:54911-5741
Mailing Address - Country:US
Mailing Address - Phone:920-996-3264
Mailing Address - Fax:920-830-5910
Practice Address - Street 1:1535 SAVANNAH RD
Practice Address - Street 2:
Practice Address - City:LEWES
Practice Address - State:DE
Practice Address - Zip Code:19958-1611
Practice Address - Country:US
Practice Address - Phone:302-645-3232
Practice Address - Fax:302-645-3833
Is Sole Proprietor?:No
Enumeration Date:2014-06-03
Last Update Date:2024-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DELP-0010746363L00000X
FLARNP9276976363LP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care