Individual
AMBER LYNN VANDERWAGEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGACNP-BC
Contact information
Practice address
1223 MERCY DR, MUSKEGON, MI 49444-1879
(231) 672-3500
(231) 672-6199
Mailing address
PO BOX 776982, CHICAGO, IL 60677-6982
(800) 494-5797
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
4704298974
MI
Other
Enumeration date
02/04/2019
Last updated
11/06/2024
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