GINA VON DER VELLEN, APRN, CPNP
Nurse Practitioner - Pediatrics
Active
Individual
NPI: 1578258877
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Registered Nurse | 163W00000X | No | 041566358 (IL) |
| Registered Nurse - Pediatrics | 163WP0200X | No | RN.451803 (OH) |
| Nurse Practitioner - Pediatrics | 363LP0200X | Yes | 209029829 (IL) |
Frequently Asked Questions
NPI 1578258877 is the National Provider Identifier for GINA VON DER VELLEN, APRN, CPNP, a Nurse Practitioner - Pediatrics provider located in Peoria, IL. This NPI was enumerated on April 11, 2023.
GINA VON DER VELLEN, APRN, CPNP practices at 530 NE GLEN OAK AVE, Peoria, IL 61637.
Quick Facts
- NPI
- 1578258877
- Type
- Individual
- Enumerated
- Apr 11, 2023
- Last Updated
- Oct 17, 2024
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