Provider Demographics
NPI:1548650955
Name:VANBEEK, KRISTINE KAY (NP-C)
Entity type:Individual
Prefix:
First Name:KRISTINE
Middle Name:KAY
Last Name:VANBEEK
Suffix:
Gender:F
Credentials:NP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5852 330TH ST
Mailing Address - Street 2:
Mailing Address - City:SANBORN
Mailing Address - State:IA
Mailing Address - Zip Code:51248-7558
Mailing Address - Country:US
Mailing Address - Phone:712-729-3550
Mailing Address - Fax:
Practice Address - Street 1:212 E BOW DR
Practice Address - Street 2:
Practice Address - City:CHEROKEE
Practice Address - State:IA
Practice Address - Zip Code:51012-1215
Practice Address - Country:US
Practice Address - Phone:712-225-6431
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-01-23
Last Update Date:2015-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IAAO98352363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily