Provider Demographics
NPI:1083846588
Name:VANDERPOOL, ANGELA CLEMENTS (RN, MSN, CPNP)
Entity Type:Individual
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First Name:ANGELA
Middle Name:CLEMENTS
Last Name:VANDERPOOL
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Gender:F
Credentials:RN, MSN, CPNP
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Mailing Address - Street 1:2401 GILLHAM RD
Mailing Address - Street 2:CHILDREN'S MERCY HOSPITAL ORTHOPAEDIC DEPARTMENT
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64108-4619
Mailing Address - Country:US
Mailing Address - Phone:816-234-3134
Mailing Address - Fax:816-855-1993
Practice Address - Street 1:2401 GILLHAM RD
Practice Address - Street 2:CHILDREN'S MERCY HOSPITAL ORTHOPAEDIC DEPARTMENT
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64108-4619
Practice Address - Country:US
Practice Address - Phone:816-234-3134
Practice Address - Fax:816-855-1993
Is Sole Proprietor?:No
Enumeration Date:2009-08-17
Last Update Date:2015-09-01
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Provider Licenses
StateLicense IDTaxonomies
MO104030363LP0200X
KS75012363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics