Provider Demographics
NPI:1407197676
Name:VANDERPOEL, BRITTANY STEAD (NP)
Entity Type:Individual
Prefix:MISS
First Name:BRITTANY
Middle Name:STEAD
Last Name:VANDERPOEL
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:20 NEPTUNE RD
Mailing Address - Street 2:
Mailing Address - City:WORCESTER
Mailing Address - State:MA
Mailing Address - Zip Code:01605-3818
Mailing Address - Country:US
Mailing Address - Phone:617-319-8783
Mailing Address - Fax:
Practice Address - Street 1:1 MONARCH PL
Practice Address - Street 2:10TH FLOOR
Practice Address - City:SPRINGFIELD
Practice Address - State:MA
Practice Address - Zip Code:01144-1099
Practice Address - Country:US
Practice Address - Phone:413-734-2000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-03-12
Last Update Date:2013-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MARN270316363LA2200X, 363LG0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
No363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology