Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JORDAN MCKENZIE VANDENBERG, PA
ActiveJORDAN MCKENZIE VANDENBERG, PA is a Physician Assistant healthcare provider located in CASA GRANDE, Arizona. NPI 1609359215 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · CASA GRANDE, AZ
Registration Details
- NPI Number
- 1609359215
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Sep 10, 2018 (7.9063223107223 yrs)
- Last Updated
- Jun 1, 2023
- License
-
7283 (AZ)
Practice Information
- Address
-
580 N CAMINO MERCADOCASA GRANDE, AZ, 851225757Browse AZ providers · Browse ZIP 85122
- Phone
- 5208760416
- Fax
- 5204213474
- Primary Specialty
-
Physician Assistant
363A00000X
Other Physician Assistant Providers in CASA GRANDE, AZ
| Name | Credential | NPI |
|---|---|---|
| MR. ERIC B WHEELER | PA-C | 1396739504 |
| MR. CRAIG W CONNOR | PA-C | 1215923206 |
| KELLY D CHAVEZ | PA-C | 1356329379 |
| GEORGE J JICHA | PA | 1962474361 |
| SARAH M PRZYBYLA | PA | 1023080082 |
| ROBIN RICHMOND LATTO | P.A. | 1427021740 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.