Individual
MRS. HEATHER ELIZABETH VANDERVELDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1 COMPASS WAY STE 200, EAST BRIDGEWATER, MA 02333-1464
(508) 350-2300
(508) 350-2309
Mailing address
1 COMPASS WAY STE 200, EAST BRIDGEWATER, MA 02333-1464
(508) 350-2300
(508) 350-2309
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
269139
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00273401
MEDICARE
MA
Enumeration date
08/10/2011
Last updated
10/23/2017
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