Individual provider · Type 1 NPI

Renae Vangelderen, PHN

Community Health Registered Nurse · Marshall, MN

NPI number 1124463633 Active

Practice location

607 W Main St, Suite 200
Marshall, MN 56258-3169

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse 163W00000XR 142351-8 (MN)
Community Health Registered Nurse Primary 163WC1500X18494 (MN)

Community Health Registered Nurse: Definition to come...

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About NPI 1124463633

Renae Vangelderen, PHN's National Provider Identifier is 1124463633, issued on May 10, 2013. The primary taxonomy on file is Community Health Registered Nurse (163WC1500X), and the practice location is in Marshall, MN. The record was last updated on May 10, 2013.