Vanden Wynboom, Amanda J

Vanden Wynboom, Amanda J is an individual health care provider with primary practice located at 1606 Golden Aspen Dr Ste 105 , Ames IA 50010-8011. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Vanden Wynboom, Amanda J can be contacted via phone (515) 620-5892.

Contact Information

Primary practice address
1606 Golden Aspen Dr Ste 105 Ames IA 50010-8011
Phone: (515) 620-5892
Fax: (515) 620-5893
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X A125509 Iowa

Profile Details

NPI number 1902321110
LBN Legal business name Vanden Wynboom, Amanda J
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 8th, 2017
Last updated Apr 19th, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1902321110 NPPES
Iowa MEDICAID 0227735
Iowa Other C00000057738

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