Individual
PAULA JEAN VANDENBURG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN174084, NP08868
OH
Other
Enumeration date
07/10/2006
Last updated
04/01/2008
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