Individual
EMILY CHRISTINE VANDERPOOL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
1104 N WAYNE ST, NORTH MANCHESTER, IN 46962-1001
(260) 982-2102
(260) 569-2305
Mailing address
11109 PARKVIEW PLAZA DR # 117, FORT WAYNE, IN 46845-1701
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
71011098A
IN
Other
Enumeration date
05/20/2021
Last updated
09/18/2023
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