Individual
KORI L VANDER YACHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
600 N 8TH ST, MOUNT HOREB, WI 53572-1870
(608) 437-3064
(608) 437-4542
Mailing address
7974 UW HEALTH CT, MIDDLETON, WI 53562-5531
(608) 829-5247
(608) 833-0999
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
7783-33
WI
Other
Enumeration date
07/27/2017
Last updated
01/20/2021
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