Individual
MRS. ANGELA VANDERHEYDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
3850 PARK NICOLLET BLVD, SENIOR SERVICES, SAINT LOUIS PARK, MN 55416-2527
(952) 993-5041
(952) 993-6406
Mailing address
2243 GETTYSBURG AVE S, SAINT LOUIS PARK, MN 55426-2341
(612) 719-2173
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
R1691997
MN
Other
Enumeration date
08/22/2010
Last updated
10/15/2011
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