Individual
ANGELA JOAN VANDERKARR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
234 LAKE ST, ROSCOMMON, MI 48653-9203
(989) 275-1200
Mailing address
234 LAKE ST, ROSCOMMON, MI 48653-9203
(989) 275-1200
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704342988
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4704342988
DEPARTMENT OF LICENSING AND REGULATORY AFFAIRS
MI
Enumeration date
09/16/2022
Last updated
11/23/2022
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