Individual
MICHELLE R VANDERBILT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
1211 FISH HATCHERY RD, MADISON, WI 53715-1909
(608) 252-8000
(608) 410-2905
Mailing address
1211 FISH HATCHERY RD, MADISON, WI 53715-1909
(608) 252-8000
(608) 410-2905
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
2372-033
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1881809275
—
WI
Enumeration date
05/11/2007
Last updated
06/10/2025
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