Individual
HANNAH VANDERROEST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
500 N STATE ROUTE 89, PRESCOTT, AZ 86313-5001
(928) 445-4860
Mailing address
1459 VARSITY DR, PRESCOTT, AZ 86301-7845
(928) 499-4536
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN197295
AZ
Other
Enumeration date
09/27/2023
Last updated
09/27/2023
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