Individual
ELLEN LEIGH VANDENBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RNFA
Contact information
Practice address
188 PEPONITA CT, WASHOE VALLEY, NV 89704-9648
(775) 737-1818
Mailing address
188 PEPONITA CT, WASHOE VALLEY, NV 89704-9648
(775) 737-1818
Taxonomy
Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
Primary
RN26316
NV
Other
Enumeration date
05/28/2022
Last updated
05/28/2022
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