Individual
ANGELA M VANDERBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC, PMHNP-C
Contact information
Practice address
2646 W LINCOLN HWY STE A, MERRILLVILLE, IN 46410-5235
(219) 444-7946
(219) 444-4398
Mailing address
3217 W 121ST AVE, CROWN POINT, IN 46307-8745
(219) 444-7946
(219) 444-4398
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
71003513
IN
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
71003513
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
IN2007010
MEDICARE PTAN
IN
Enumeration date
01/06/2011
Last updated
01/12/2026
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