Individual
KATHLEEN D. VANDENBURG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
MEETING PLACE PLAZA 199 ROUTE 101, AMHERST, NH 03031-1734
(603) 249-3000
(603) 249-3000
Mailing address
PO BOX 1220, 199 ROUTE 101, AMHERST, NH 03031-1220
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
030002-23-03
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0140741
UHC
NH
01
—
030001
TUFTS
NH
05
—
30340851
—
NH
01
—
437820
CIGNA
NH
01
—
S45443
ANTHEM UPIN REFERRAL #
NH
Enumeration date
10/13/2005
Last updated
07/27/2007
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