RUSSELL WL VANDERLINDEN

LIBERTY, MO
NPI1205260577
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: MO  2013030774)
Enumeration Date2013-08-22
Last Update Date2019-11-26
Business Address
RUSSELL WL VANDERLINDEN FNP
1860 N CHURCH RD
LIBERTY, MO 64068-7179
Phone number: 816-415-2828
Mailing Address
RUSSELL WL VANDERLINDEN FNP
PO BOX 226
EXCELSIOR SPRINGS, MO 64024-0226
Phone number: 816-520-1710