Individual
MARIELLA ANN VANDERGAAST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2213 2ND ST, CORALVILLE, IA 52241-1205
(319) 688-3383
(319) 688-3425
Mailing address
2213 2ND ST, CORALVILLE, IA 52241-1205
(319) 688-3383
(319) 688-3425
Taxonomy
Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
Primary
133097
IA
Other
Enumeration date
12/02/2025
Last updated
12/02/2025
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