Individual
MRS. DEBORAH LORRAINE VANDERGAAST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
118 PARKVIEW CT, TIPTON, IA 52772-1349
(563) 886-3143
(563) 886-3143
Mailing address
118 PARKVIEW CT, TIPTON, IA 52772-1349
(563) 886-3143
(563) 886-3143
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
104423
IA
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
104423
IA
385HR2065X
Child Physical Disabilities Respite Care
Primary
104423
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0453555
—
IA
01
—
3816058
TITLE XX CHILD CARE ASSIS
IA
Enumeration date
04/16/2007
Last updated
09/11/2025
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