Individual
DAWN M VANDERHOEF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD, DNP, APRN
Contact information
Practice address
3857 MARTIN WAY E, OLYMPIA, WA 98506-5268
(360) 704-7170
Mailing address
3857 MARTIN WAY E, OLYMPIA, WA 98506-5268
(360) 704-7170
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
RN
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3348441
—
TN
01
—
4136500
BCBS OF TENNESSEE
TN
01
—
P00339426
RAILROAD MEDICARE
TN
Enumeration date
07/10/2006
Last updated
12/16/2022
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