MARIELLA ANN VANDERGAAST RN
NPI 1427910918
Registered Nurse - Psychiatric/Mental Health, Adult in Coralville, IA
Active since December 02, 2025
About Mariella Ann Vandergaast Rn NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MARIELLA ANN VANDERGAAST RN (NPI 1427910918) is an individual psychiatric/mental health, adult provider in Coralville, Iowa, licensed in Iowa (133097) and active in the NPI registry since December 2025.
NPPES Registry Identity
NPI1427910918
Entity TypeIndividualFemale
Primary Taxonomy163WP0809X
Provider Legal NameMARIELLA ANN VANDERGAASTCredential: RN
Location Address2213 2ND STCoralville, IA 52241-1205
Mailing Address2213 2nd StCoralville, IA 52241-1205 · (319) 688-3383 · Fax (319) 688-3425
Phone(319) 688-3383
Fax(319) 688-3425
Sole ProprietorNo
Enumeration DateDecember 2, 2025
NPPES CertifiedDecember 2, 2025
✔ NPI 1427910918 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyRegistered Nurse · Psychiatric/Mental Health, AdultNursing Service Providers
Taxonomy Code163WP0809X
License✔ Licensed in IA · 133097
2213 2ND ST, Coralville, IA 52241
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Student in an Organized Health Care Education/Training Program
2213 2ND ST
CORALVILLE, IA 52241
CORALVILLE, IA 52241
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1427910918, enumerated as an "individual" on December 02, 2025.
The provider is located at 2213 2ND ST CORALVILLE, IA 52241 and the phone number is (319) 688-3383.
Registered Nurse with taxonomy code 163WP0809X and a focus in Psychiatric/Mental Health, Adult.