Delores A. Vandergrift in Carthage - Family
Delores A. Vandergrift - NPI 1790723260
Delores A. Vandergrift is a Family in Carthage, Missouri. Delores A. Vandergrift practices all healthcare services and medical treatments related to Family. The NPI Number for Delores A. Vandergrift is 1790723260. The last update date is 2014-11-19.
Delores A. Vandergrift's current location address is 2425 Fairlawn Dr, Carthage, Missouri. You can contact this provider via phone number 4172370604 and fax number 4172370613. The mailing address for Delores A. Vandergrift is 2425 Fairlawn Dr, Carthage, Missouri. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Delores A. Vandergrift |
|---|---|
| Address | 2425 Fairlawn Dr, Carthage, Missouri |
| Phone Number | 4172370604 |
| Fax Number | 4172370613 |
| Sole Proprietor | N |
| Credentials | FNP |
NPI Number Detail
| NPI Number | 1790723260 |
|---|---|
| Provider Enumeration Date | 2006-06-04 |
| Last Updated Date | 2014-11-19 |
Provider Mailing Address Detail
| Address | 2425 Fairlawn Dr |
|---|---|
| City | Carthage |
| State | Missouri (MO) |
| Post Code | 648363517 |
| Phone Number | 4172370604 |
| Fax Number | 4172370613 |
Provider's Primary Taxonomy Detail
| Speciality | Family |
|---|---|
| Taxonomy | 363Lf0000X |
| Licence No | 79678 |
|
Definition: An advanced practice registered nurse expert in primary healthcare for patients of all ages. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1790723260 | MO | -- |
Post Comment/ Review Below
What is the unique identification code assigned to Delores A. Vandergrift by the Centers for Medicare & Medicaid Services?
The Delores A. Vandergrift has been issued the NPI (National Provider Identifier) 1790723260. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Delores A. Vandergrift is located?
The Delores A. Vandergrift is situated at the following address: 2425 Fairlawn Dr, Carthage, MO, 648363517.
What is Delores A. Vandergrift's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Delores A. Vandergrift is Family, and the taxonomy code that classifies this field of practice is 363Lf0000X.
On what date was the 1790723260 assigned to Delores A. Vandergrift?
The Delores A. Vandergrift was issued its 1790723260 on 2006-06-04, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details pertaining to Delores A. Vandergrift last refreshed?
The information related to the Delores A. Vandergrift, including its address, specialty, and other relevant details, was last updated on 2014-11-19.