Individual
DELORIS K VANDERHOOF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1009 W GREEN ST, HASTINGS, MI 49058-1710
(269) 945-3451
Mailing address
7763 DOYLE RD, LAINGSBURG, MI 48848-9791
(269) 945-2176
(269) 945-0885
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
4704141918
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4308703890
BCBS MICHIGAN
MI
05
—
4638500
—
MI
01
—
P00155739
PALMETTO GBA RR RAILROAD
MI
Enumeration date
08/30/2006
Last updated
07/08/2007
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