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

TaxonomyCodeLicense
Critical Care Medicine Nurse Practitioner Primary 363LC0200X631043 (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.