Individual
JESSICA MAE VANDERHAGEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
10 4TH AVE SE, GLENWOOD, MN 56334-1820
(320) 634-4521
(320) 634-2262
Mailing address
10 4TH AVE SE, GLENWOOD, MN 56334-1820
(320) 634-4521
(320) 634-2244
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R147910-6
MN
Other
Enumeration date
08/04/2006
Last updated
01/15/2009
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