National Provider Identifier
Kristen Vandyke
Kristen Vandyke is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse in Waverly, NY and a listed phone number of (570) 423-4629.
Profile Overview
- NPI
- 1346056728
- Provider Type
- Individual
- Primary Specialty
- Licensed Practical Nurse
- Enumeration Date
- December 10, 2024
- Last Updated
- December 10, 2024
Practice Location
- 31 Circle Dr
- Waverly, NY 14892-9744
Phone: (570) 423-4629
Specialties
- Licensed Practical Nurse (164W00000X)
- Licensed Practical Nurse (164W00000X)
Full Record
- NPI
- 1346056728
- Entity Type
- Individual
- Last Name
- Vandyke
- First Name
- Kristen
- Mailing Street Address
- 31 Circle Dr
- Mailing City
- Waverly
- Mailing State
- NY
- Mailing ZIP Code
- 14892-9744
- Mailing Country
- US
- Practice Street Address
- 31 Circle Dr
- Practice City
- Waverly
- Practice State
- NY
- Practice ZIP Code
- 14892-9744
- Practice Country
- US
- Practice Phone
- (570) 423-4629
- Enumeration Date
- December 10, 2024
- Last Updated
- December 10, 2024
- Sex
- Female
- Sole Proprietor
- Yes
- Certification Date
- December 10, 2024
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Licensed Practical Nurse (164W00000X), Licensed Practical Nurse (164W00000X)