NPI
Amy Vandaveer
NPI 1194121251
Read from the NPPES registry on October 24, 2026.
Facts
- Status
- Active
- Credential
- COTA
- Type
- Individual
- Enumeration date
- 2014-11-17
- Last updated
- 2014-11-17
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Specialties
Licenses
- License MO
- 2014003564
Location
- Practice location
- 403 W Main St
- City
- Cole Camp MO
- Postal code
- 65325-1144
- Phone
- (660) 668-4515
Medicare
- PECOS
- No PECOS enrollment row matched this NPI.
LEIE
No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.
Nearby
Other NPIs in Cole Camp, MO. 22 records in the public file.
Public data from NPPES and CMS. Not a credentialing determination.
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