MICAH NICOLE VANDE VEGTE

CHAMPLIN, MN
NPI1679285779
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: IA  F10221396)
Enumeration Date2022-12-20
Last Update Date2022-12-20
Business Address
MICAH NICOLE VANDE VEGTE NP-C
220 E RIVER PKWY UNIT 428
CHAMPLIN, MN 55316-1426
Phone number: 712-395-8621
Mailing Address
MICAH NICOLE VANDE VEGTE NP-C
220 E RIVER PKWY UNIT 428
CHAMPLIN, MN 55316-1426
Phone number: 712-395-8621
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