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Angela M Vanderberg, APN
Psychiatric/Mental Health Nurse Practitioner in Mishawaka, Indiana
NPI 1093019994

Angela M Vanderberg is a Psychiatric/Mental Health Nurse Practitioner based in Crown Point, IN and is specialized in Psychiatric/Mental Health. Angela M Vanderberg practices in Mishawaka, IN and has the professional credentials of APN. The NPI Number for Angela M Vanderberg is 1093019994 and holds a License No. 71003513 (Indiana).

The current practice location address for Angela M Vanderberg is 215 W 4Th St, Mishawaka, IN and can be reached out via phone at 574-325-5961.

Location: 215 W 4Th St, Mishawaka, IN, 46307-8745
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1093019994
Provider Name
Angela M Vanderberg
Credential
APN
Provider Entity Type
Individual
Gender
Female
Address
215 W 4Th St, Mishawaka, IN, 46307-8745
Phone Number
574-325-5961
Fax Number
Provider Enumeration Date
01/06/2011
Last Update Date
06/15/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
IN2007010 01 IN MEDICARE PTAN
institution
Provider Business Practice Location Address Details
Address
215 W 4Th St
City
Mishawaka
State
Indiana
Zip
46544-1917
Phone Number
574-325-5961
Fax Number
person
Provider Business Mailing Address Details
Address
215 W 4Th St
City
Mishawaka
State
Indiana
Zip
46544-1917
Phone Number
574-325-5961
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
71003513 (Indiana)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
363LP0808X
License No.
71003513 (Indiana)
Definition
Definition to come...
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