Individual
MARIA E VANDEPOL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
6 CARE LN, SARATOGA SPRINGS, NY 12866-8624
(518) 587-7625
(518) 587-0273
Mailing address
PO BOX 14890, ALBANY, NY 12212-4890
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
430060
NY
363LA2100X
Acute Care Nurse Practitioner
Primary
F430060-1
NY
Other
Enumeration date
09/14/2006
Last updated
05/26/2021
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