Individual provider · Type 1 NPI

Angela Vanderheyden, NURSE PRACTITIONER

Gerontology Nurse Practitioner · St. Louis Park, MN

NPI number 1255647798 Active

Practice location

3850 Park Nicollet Blvd, Senior Services
St. Louis Park, MN 55416-2527

Call (952) 993-5041 Map

Fax (952) 993-6406

Mailing address

2243 Gettysburg Ave S
St. Louis Park, MN 55426-2341

Specialties and licenses

TaxonomyCodeLicense
Gerontology Nurse Practitioner Primary 363LG0600XR1691997 (MN)

Gerontology Nurse Practitioner: Definition to come...

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About NPI 1255647798

Angela Vanderheyden, NURSE PRACTITIONER's National Provider Identifier is 1255647798, issued on Aug 22, 2010. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in St. Louis Park, MN. The record was last updated on Oct 15, 2011.