Provider Demographics
NPI:1841583580
Name:VANDERVEER, KAREN (NMD)
Entity Type:Individual
Prefix:DR
First Name:KAREN
Middle Name:
Last Name:VANDERVEER
Suffix:
Gender:F
Credentials:NMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:662 N PINECLIFF DR
Mailing Address - Street 2:
Mailing Address - City:FLAGSTAFF
Mailing Address - State:AZ
Mailing Address - Zip Code:86001-3365
Mailing Address - Country:US
Mailing Address - Phone:602-502-1122
Mailing Address - Fax:
Practice Address - Street 1:662 N PINECLIFF DR
Practice Address - Street 2:
Practice Address - City:FLAGSTAFF
Practice Address - State:AZ
Practice Address - Zip Code:86001-3365
Practice Address - Country:US
Practice Address - Phone:602-502-1122
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-05-26
Last Update Date:2011-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ98-554175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath