Individual
BERNADETTE PATRICIA VANDEUSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, APRN, FNP-C
Contact information
Practice address
2500 MERCED ST, I DO NOT YET HAVE A PRACTICE LOCATION AS AN NP, SAN LEANDRO, CA 94577
(510) 552-3170
Mailing address
39399 CHERRY ST, NEWARK, CA 94560-4902
(510) 552-3170
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
NP95010446
CA
Other
Enumeration date
02/27/2020
Last updated
02/27/2020
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