Individual provider · Type 1 NPI

Sharon R. Vandenberg

Licensed Practical Nurse · Phoenix, AZ

NPI number 1770716557 Active

Practice location

20402 N 15th Ave
Phoenix, AZ 85027-3636

Call (623) 445-4952 Map

Fax (623) 445-5079

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000XLPN45622 (AZ)

Licensed Practical Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

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About NPI 1770716557

Sharon R. Vandenberg's National Provider Identifier is 1770716557, issued on Aug 27, 2009. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Phoenix, AZ. The record was last updated on Aug 27, 2009.