Individual
SAMANTHA VAN GORP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
600 9TH AVE N, SIBLEY, IA 51249-1012
(712) 754-2900
Mailing address
1500 SUNRISE CT, SHELDON, IA 51201-1249
(712) 344-0110
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
A138532
IA
Other
Enumeration date
10/20/2017
Last updated
10/20/2017
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