Individual
RENAE VANGELDEREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHN
Contact information
Practice address
607 W MAIN ST, SUITE 200, MARSHALL, MN 56258-3169
(507) 537-6713
Mailing address
607 W MAIN ST, SUITE 200, MARSHALL, MN 56258-3169
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
R 142351-8
MN
163WC1500X
Community Health Registered Nurse
Primary
18494
MN
Other
Enumeration date
05/10/2013
Last updated
05/10/2013
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