Vanderlin, Michele Renee

Vanderlin, Michele Renee is an individual health care provider with primary practice located at 21505 W Highlands Dr , Buckeye AZ 85396-7845. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Vanderlin, Michele Renee can be contacted via phone (623) 910-6658.

Contact Information

Primary practice address
21505 W Highlands Dr Buckeye AZ 85396-7845
Phone: (623) 910-6658
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 3646 Arizona
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA61263914 Washington

Profile Details

NPI number 1538354170
LBN Legal business name Vanderlin, Michele Renee
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 6th, 2007
Last updated Jan 19th, 2024 - 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 1538354170 NPPES
Arizona Other 860377821 TAX ID

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