Individual
MRS. AMY SUE VANDENBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
521 E MICHIGAN AVE STE 102, KALAMAZOO, MI 49007-3889
(269) 349-6759
Mailing address
12409 BAYVIEW DR, WAYLAND, MI 49348-8826
(616) 893-8403
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704212043
MI
Other
Enumeration date
01/12/2022
Last updated
01/12/2022
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