Vandenburg, Kathleen D.

Vandenburg, Kathleen D. is an individual health care provider with primary practice located at Meeting Place Plaza 199 Route 101 , Amherst NH 03031-1734. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Vandenburg, Kathleen D. can be contacted via phone (603) 249-3000.

Contact Information

Primary practice address
Meeting Place Plaza 199 Route 101 Amherst NH 03031-1734
Phone: (603) 249-3000
Fax: (603) 249-3000
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 030002-23-03 New Hampshire

Profile Details

NPI number 1073501979
LBN Legal business name Vandenburg, Kathleen D.
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 13th, 2005
Last updated Jul 27th, 2007 - about 17 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 1073501979 NPPES
New Hampshire MEDICAID 30340851
New Hampshire Other 0140741
New Hampshire Other 437820
New Hampshire Other S45443
New Hampshire Other 030001
New Hampshire Other S45443

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