Individual
CHRISTINE S VANDERWAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, BSN
Contact information
Practice address
2604 400TH ST, MARNE, IA 51552-2102
(712) 732-4758
Mailing address
2604 400TH ST, MARNE, IA 51552-2102
(712) 732-4758
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
088447
IA
Other
Enumeration date
02/21/2024
Last updated
02/21/2024
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