Individual
KRISTA VANDENBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2880 UNIVERSITY AVE, MADISON, WI 53705-3644
(608) 263-7740
Mailing address
7974 UW HEALTH CT, MIDDLETON, WI 53562-5531
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
164566
WI
363LG0600X
Gerontology Nurse Practitioner
6400
WI
Other
Enumeration date
05/11/2015
Last updated
01/20/2021
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