person
Delores A. Vandergrift, FNP
Family Nurse Practitioner in Carthage, Missouri
NPI 1790723260

Delores A. Vandergrift is a Family Nurse Practitioner based in Carthage, MO and is specialized in Family. Delores A. Vandergrift practices in Carthage, MO and has the professional credentials of FNP. The NPI Number for Delores A. Vandergrift is 1790723260 and holds a License No. 079678 (Missouri).

The current practice location address for Delores A. Vandergrift is 2425 Fairlawn Dr, Carthage, MO and can be reached out via phone at 417-237-0604 and via fax at 417-237-0613.

Location: 2425 Fairlawn Dr, Carthage, MO, 64836-3517
person
Provider Profile Details
NPI Number
1790723260
Provider Name
Delores A. Vandergrift
Credential
FNP
Provider Entity Type
Individual
Gender
Female
Address
2425 Fairlawn Dr, Carthage, MO, 64836-3517
Phone Number
417-237-0604
Fax Number
417-237-0613
Provider Enumeration Date
06/04/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1790723260 05 MO
institution
Provider Business Practice Location Address Details
Address
2425 Fairlawn Dr
City
State
Zip
64836-3517
Phone Number
417-237-0604
Fax Number
417-237-0613
person
Provider Business Mailing Address Details
Address
2425 Fairlawn Dr
City
State
Zip
64836-3517
Phone Number
417-237-0604
Fax Number
417-237-0613
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
079678 (Missouri)
Definition
Definition to come...
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