Individual provider · Type 1 NPI
R Kent Vandergriff, ACNP
Critical Care Medicine Nurse Practitioner · Tyler, TX
NPI number
1215230586
Active
Practice location
800 E Dawson St
Tyler, TX 75701-2036
Mailing address
PO Box 841656
Dallas, TX 75284-1656
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Critical Care Medicine Nurse Practitioner Primary | 363LC0200X | 631043 (TX) |
Critical Care Medicine Nurse Practitioner: Definition to come...
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About NPI 1215230586
R Kent Vandergriff, ACNP's National Provider Identifier is 1215230586, issued on Dec 8, 2010. The primary taxonomy on file is Critical Care Medicine Nurse Practitioner (363LC0200X), and the practice location is in Tyler, TX. The record was last updated on Oct 14, 2014.