Callan Vaneps

Individual provider Active NPI Registered Nurse · Deer River, MN

NPI 1013882935 · NPPES record last updated Oct 9, 2025

Key facts

NPI
1013882935
Entity type
Individual (NPI type 1)
Primary specialty
Registered Nurse 163W00000X
License
2465206 (MN)
Practice address
42792 Chase Lake Rd
Deer River, MN 56636-3185
Phone
(218) 414-0139
NPI assigned
Oct 9, 2025
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
2465206MNMDRegistered Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 2465206 MN Yes

Addresses

Primary practice location

42792 Chase Lake Rd
Deer River, MN 56636-3185

Mailing address

42792 Chase Lake Rd
Deer River, MN 56636-3185

Other providers in Deer River, MN

All providers in Deer River, MN · Registered Nurse in Minnesota

Sources for this page

Verify at the official NPI Registry.