Individual
AMANDA LYN VANDENBURG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN-CNP
Contact information
Practice address
415 6TH STREET, BOSWELL, OK 74727-0000
(580) 566-2530
(580) 566-2533
Mailing address
PO BOX 219, CLAYTON, OK 74536-0219
(918) 917-9999
(918) 569-7552
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
73707
OK
Other
Enumeration date
10/26/2015
Last updated
11/12/2025
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