Provider Demographics
NPI:1629672076
Name:VANDELUNE, TRISHA (MSN, APRN, FNP-C)
Entity Type:Individual
Prefix:
First Name:TRISHA
Middle Name:
Last Name:VANDELUNE
Suffix:
Gender:F
Credentials:MSN, APRN, FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1507 ALDERWOOD DR
Mailing Address - Street 2:
Mailing Address - City:ALTOONA
Mailing Address - State:IA
Mailing Address - Zip Code:50009-2438
Mailing Address - Country:US
Mailing Address - Phone:515-401-8812
Mailing Address - Fax:
Practice Address - Street 1:1507 ALDERWOOD DR
Practice Address - Street 2:
Practice Address - City:ALTOONA
Practice Address - State:IA
Practice Address - Zip Code:50009-2438
Practice Address - Country:US
Practice Address - Phone:515-401-8812
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-11-25
Last Update Date:2024-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IAA161651363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner