person
Micah Nicole Vande Vegte, NP-C
Family Nurse Practitioner in Champlin, Minnesota
NPI 1679285779

Micah Nicole Vande Vegte is a Family Nurse Practitioner based in Champlin, MN and is specialized in Family. Micah Nicole Vande Vegte practices in Champlin, MN and has the professional credentials of NP-C. The NPI Number for Micah Nicole Vande Vegte is 1679285779 and holds a License No. F10221396 (Minnesota).

The current practice location address for Micah Nicole Vande Vegte is 220 E River Pkwy Unit 428, Champlin, MN and can be reached out via phone at 712-395-8621.

Location: 220 E River Pkwy Unit 428, Champlin, MN, 55316-1426
person
Provider Profile Details
NPI Number
1679285779
Provider Name
Micah Nicole Vande Vegte
Credential
NP-C
Provider Entity Type
Individual
Gender
Female
Address
220 E River Pkwy Unit 428, Champlin, MN, 55316-1426
Phone Number
712-395-8621
Fax Number
Provider Enumeration Date
12/20/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
220 E River Pkwy Unit 428
City
State
Zip
55316-1426
Phone Number
712-395-8621
Fax Number
person
Provider Business Mailing Address Details
Address
220 E River Pkwy Unit 428
City
State
Zip
55316-1426
Phone Number
712-395-8621
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
F10221396 (Iowa)
Definition
Definition to come...
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