Individual
CAROL VANDERWEYST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
306 W JOHNSON DR, CYRUS, MN 56323-4613
(320) 815-5965
(320) 213-0144
Mailing address
306 W JOHNSON DR, CYRUS, MN 56323-4613
(320) 815-5965
(320) 213-0144
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
211344-5
MN
Other
Enumeration date
10/21/2014
Last updated
10/21/2014
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