DELORES A. VANDERGRIFT FNP NPI 1790723260

NPI Information

  • NPI: 1790723260
  • Provider Name: DELORES A. VANDERGRIFT, FNP
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 2425 FAIRLAWN DR
    CARTHAGE, MO
    ZIP 64836
  • Phone: (417) 237-0604

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NPI Details

Delores A. Vandergrift, FNP is a family nurse practitioner in Carthage, MO. Delores A. Vandergrift, FNP NPI is 1790723260. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2425 FAIRLAWN DR
CARTHAGE, MO
ZIP 64836-517
Phone: (417) 237-0604
Fax: (417) 237-0613

The NPI 1790723260 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Power Mobility Devices.

The enumeration date for this NPI number is 6/4/2006 and was last updated on 11/19/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LF0000XNurse PractitionerFamily079678MISSOURIYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1MA1327094MEDICARE PINMISSOURI
2S37220MEDICARE UPIN
31790723260MEDICAIDMISSOURI
4501150063MEDICARE PINMISSOURI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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