Individual
DELORES A. VANDERGRIFT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
2425 FAIRLAWN DR, CARTHAGE, MO 64836-3517
(417) 237-0604
(417) 237-0613
Mailing address
2425 FAIRLAWN DR, CARTHAGE, MO 64836-3517
(417) 237-0604
(417) 237-0613
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
079678
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1790723260
—
MO
Enumeration date
06/04/2006
Last updated
11/19/2014
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us