Individual
STEPHEN VANDERELS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
96 MOSSMAN RD, SUDBURY, MA 01776-1312
(978) 460-0768
Mailing address
96 MOSSMAN RD, SUDBURY, MA 01776-1312
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN2298874
MA
363LF0000X
Family Nurse Practitioner
Primary
RN2298874
MA
Other
Enumeration date
02/08/2016
Last updated
10/03/2016
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