Provider Demographics
NPI:1538613518
Name:VANDERPUIJE, DOROTHY
Entity type:Individual
Prefix:
First Name:DOROTHY
Middle Name:
Last Name:VANDERPUIJE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:DOROTY
Other - Middle Name:
Other - Last Name:WULFF-VANDERPUIJE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:RN
Mailing Address - Street 1:8354 PRINCETON GLENDALE RD
Mailing Address - Street 2:SUITE 209
Mailing Address - City:WEST CHESTER
Mailing Address - State:OH
Mailing Address - Zip Code:45069-2130
Mailing Address - Country:US
Mailing Address - Phone:513-860-1023
Mailing Address - Fax:513-860-1032
Practice Address - Street 1:8354 PRINCETON GLENDALE RD
Practice Address - Street 2:SUITE 209
Practice Address - City:WEST CHESTER
Practice Address - State:OH
Practice Address - Zip Code:45069-2130
Practice Address - Country:US
Practice Address - Phone:513-860-1026
Practice Address - Fax:513-860-1032
Is Sole Proprietor?:No
Enumeration Date:2016-08-08
Last Update Date:2016-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN.394660163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
OHRN.3944660OtherPROFESSIONAL LICENSE NUMBER