Individual
FAYE ELLEN VANDENDAELE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
8101 STATE AVE, KANSAS CITY, KS 66112-2421
(612) 659-7111
(612) 659-7101
Mailing address
10001 NE VROOMAN DR, KANSAS CITY, MO 64161-9647
(816) 454-9583
(612) 659-7101
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
080187
MO
363LF0000X
Family Nurse Practitioner
45967
KS
Other
Enumeration date
09/28/2006
Last updated
03/05/2009
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