Individual
RACHELLE DAWN VANDEGRIEND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
1601 SIOUX VALLEY DR, LUVERNE, MN 56156-4500
(507) 283-4476
Mailing address
PO BOX 5074, SIOUX FALLS, SD 57117-5074
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
6273
MN
363LF0000X
Family Nurse Practitioner
A152458
IA
Other
Enumeration date
11/07/2018
Last updated
10/18/2022
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