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Individual

CAREN LEE VANDERPOOL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
AGNP

Contact information

Practice address
1521 N PINE CLIFF DR, FLAGSTAFF, AZ 86001-3269
(928) 440-2350
Mailing address
1201 E PONDEROSA PKWY APT 260, FLAGSTAFF, AZ 86001-3358
(760) 636-3310

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
202114853NP-PP
OR
363LA2200X
Adult Health Nurse Practitioner
245358
AZ
363LA2200X
Adult Health Nurse Practitioner
Primary
95018551
CA

Other

Enumeration date
04/09/2021
Last updated
10/06/2022
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