Individual
AMBER LYNN VANDENBOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
284 ROOST AVE, HOLLAND, MI 49424-2032
(616) 377-4655
Mailing address
5327 EAGLE PASS DR, HUDSONVILLE, MI 49426-9529
(937) 376-4457
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
APN.0994775-NP
CO
363L00000X
Nurse Practitioner
Primary
4704373321
MI
Other
Enumeration date
07/24/2019
Last updated
01/19/2022
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