Vandergaag, Elizabeth A

Vandergaag, Elizabeth A is an individual health care provider with primary practice located at 625 9Th Avenue Ste 210, Longview WA 98632-2465. She recently has 3 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Vandergaag, Elizabeth A can be contacted via phone (360) 501-3400.

Contact Information

Primary practice address
625 9Th Avenue Ste 210 Longview WA 98632-2465
Phone: (360) 501-3400
Fax: (360) 423-6862
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X RN00156835 Washington
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X AP30007439 Washington
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X AP127186 Texas

Profile Details

NPI number 1174697296
LBN Legal business name Vandergaag, Elizabeth A
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 20th, 2006
Last updated Sep 13th, 2023 - about last year

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 1174697296 NPPES
Washington Other 0229642 LABOR AND INDUSTRIES
Washington MEDICAID 9651027 LABOR AND INDUSTRIES

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