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DELORES A. VANDERGRIFT FNP
NPI 1790723260
Nurse Practitioner - Family in Carthage, MO

Active since June 04, 2006
2425 FAIRLAWN DR, CARTHAGE, MO 64836(417) 237-0604(417) 237-0613 Get Directions Write a Review

NPPES record last updated: November 19, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Delores A. Vandergrift Fnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DELORES A. VANDERGRIFT FNP (NPI 1790723260) is an individual family provider in Carthage, Missouri, licensed in Missouri (079678) and active in the NPI registry since June 2006.

NPPES Registry Identity

NPI1790723260
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameDELORES A. VANDERGRIFTCredential: FNP
Location Address2425 FAIRLAWN DRCarthage, MO 64836-3517
Mailing Address2425 Fairlawn DrCarthage, MO 64836-3517 · (417) 237-0604 · Fax (417) 237-0613
Phone(417) 237-0604
Fax(417) 237-0613
Sole ProprietorNo
Enumeration DateJune 4, 2006
Last NPPES UpdateNovember 19, 2014
✔ NPI 1790723260 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in MO · 079678
2425 FAIRLAWN DR, Carthage, MO 64836
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Other Identifiers 4

Medicare PINMA1327094MO
Medicare UPINS37220
Medicaid1790723260MO
Medicare PIN501150063MO

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SREEDHAR REDDY MITTA
Pediatrics
2425 FAIRLAWN DR
CARTHAGE, MO 64836
Jasper County (417) 237-0983

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Delores Vandergrift's NPI number?

The NPI number for Delores Vandergrift is 1790723260. It was assigned to this individual provider in the NPPES registry on June 4, 2006.

Where is Delores Vandergrift located?

Delores Vandergrift practices at 2425 Fairlawn Dr, Carthage, MO 64836. The listed phone number is (417) 237-0604.

What is Delores Vandergrift's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Delores Vandergrift was last updated on November 19, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.