| Skylar Aspen Vanderburg, CNP | |
|
245 Madison St, Clarendon, AR 72029-2706 | |
| (870) 747-3381 | |
| (870) 747-3631 |
| Full Name | Skylar Aspen Vanderburg |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Location | 245 Madison St, Clarendon, Arkansas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326865635 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | 125810 (Arkansas) | Secondary |
| 363L00000X | Nurse Practitioner | 125810 (Arkansas) | Primary |
| Entity Name | Mid-delta Health Systems Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1255346060 PECOS PAC ID: 3870574668 Enrollment ID: O20040527000492 |
| Mailing Address | Practice Location Address |
|---|---|
| Skylar Aspen Vanderburg, CNP 245 Madison St, Clarendon, AR 72029-2706 Ph: (870) 747-3381 | Skylar Aspen Vanderburg, CNP 245 Madison St, Clarendon, AR 72029-2706 Ph: (870) 747-3381 |
Leigh Ann Guest, APN, GNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 245 Madison St, Clarendon, AR 72029 Phone: 870-747-3381 Fax: 870-747-3631 | |
Mrs. Marla Henry, APN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 401 Midland St, Clarendon, AR 72029 Phone: 870-747-3381 | |
Ashlee Vanhouten, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 245 Madison St, Clarendon, AR 72029 Phone: 870-747-3381 Fax: 870-747-3631 | |
Melissa Blair Keller, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 245 Madison St, Clarendon, AR 72029 Phone: 870-747-3381 Fax: 870-747-3631 |