Individual provider · Type 1 NPI

Holly Vandeman, MD

Student in an Organized Health Care Education/Training Program · Tampa, FL

NPI number 1790425320 Active

Practice location

17 Davis Blvd Ste 308
Tampa, FL 33606-3438

Other practice locations

  • 777 Bannock St, Denver, CO 80204-4597 · (303) 436-4949

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed
Obstetrics & Gynecology Physician 207V00000XDR.78506 (CO)

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1790425320

Holly Vandeman, MD's National Provider Identifier is 1790425320, issued on Mar 31, 2022. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Tampa, FL. The record was last updated on Sep 17, 2026.