Individual provider · Type 1 NPI

Angela T. Vandusen

Pediatric Nurse Practitioner · Daytona Beach, FL

NPI number 1790653418 Active

Practice location

303 N Clyde Morris Blvd
Daytona Beach, FL 32114-2709

Specialties and licenses

TaxonomyCodeLicense
Pediatric Nurse Practitioner Primary 363LP0200X11042915 (FL)

Pediatric Nurse Practitioner: Definition to come...

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About NPI 1790653418

Angela T. Vandusen's National Provider Identifier is 1790653418, issued on Oct 24, 2025. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Daytona Beach, FL. The record was last updated on Oct 24, 2025.