Individual
MR. VANDER OLDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN-CNP
Contact information
Practice address
7410 S MACARTHUR BLVD, OKLAHOMA CITY, OK 73169
(405) 682-4075
Mailing address
8101 AZUREWOOD DR, OKLAHOMA CITY, OK 73135-6293
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
90183
OK
Other
Enumeration date
06/17/2016
Last updated
10/23/2018
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