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Contact Information

BRIAN K VANDENBERG, ARNP
1583 S SAINT LOUIS ST
BATESVILLE, AR72501-7627
 Phone: 870-895-2015
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family

363LF0000X 50 Nurse Practitioner
 

Nurse Practitioner

363L00000X 50 Nurse Practitioner
 

Nursing Facility Supplies

332BN1400X 87 All Other Suppliers
Indicates primary specialty

NPI Profile & details for BRIAN K VANDENBERG · (Male)

NPI Number 1427381623
Status Active
Credentials ARNP (Advanced Registered Nurse Practitioner)
Entity Individual
Enumeration date 09/08/2009
Last updated 10/17/2024 - More than a year ago
Sole proprietor 1 Yes
Identifiers
  • AR License # 226487
  • KS License # 139604
  • KS License # 5374997032
  • MO License # 1427381623
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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