NPI 1083300917
Jennifer Vandervate, HIS
Practice location
- Address
- 2825 Elmwood Ave, Lafayette, IN 47904-1701
- Phone
- (765) 447-0131
- Mailing address
- 1948 Tanglewood Dr, Lafayette, IN 47905-4183
Registered specialties
Hearing Instrument Specialist
Primary
Registry record
- NPI
- 1083300917
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 13 Apr 2023
- Record last updated
- 13 Apr 2023
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.