Doctor Name: | ROBIN LYNN VAN ZANDBERGEN |
NPI Number: | 1215324280 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | A112506 |
Business Practice Address: | 2704 Enterprise Ave Spirit Lake, IA - 513601073 |
Business Phone Number: | 7123362260 |
Business Fax Number: | |
Mailing Address: | 4068 390th St, HOSPERS |
State: | IA |
Postal Code: | 512388004 |
Phone Number: | 7127528740 |
Fax Number: | |
NPI Enumeration Date: | 04/17/2015 |
NPI Last Update Date: | 04/17/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | A112506 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |