| NPI | 1952676421 |
|---|---|
| Former Name | AMY LYN VANDENBERG |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: MN 3845) |
| Additional Taxonomies | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: WI 144155-30) |
| 163W00000X Registered Nurse (Licence: MN R225959-0) | |
| 163WM0705X Registered Nurse, Medical-Surgical (Licence: WI 144155-30) | |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: WI 4962-33) | |
| Enumeration Date | 2012-03-17 |
| Last Update Date | 2022-04-08 |