Individual provider · Type 1 NPI

Leslie Polk Van Dyke, ARNP

Acute Care Nurse Practitioner · Wichita, KS

NPI number 1124023916 Active

Practice location

929 N Saint Francis Ave
Wichita, KS 67214-3821

Mailing address

1846 N Cranbrook St
Wichita, KS 67206-8916

Specialties and licenses

TaxonomyCodeLicense
Acute Care Nurse Practitioner 363LA2100XR0114423 (OK)
Acute Care Nurse Practitioner Primary 363LA2100X53-45551-051 (KS)

Acute Care Nurse Practitioner: Definition to come...

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About NPI 1124023916

Leslie Polk Van Dyke, ARNP's National Provider Identifier is 1124023916, issued on Jun 17, 2005. The primary taxonomy on file is Acute Care Nurse Practitioner (363LA2100X), and the practice location is in Wichita, KS. The record was last updated on Aug 7, 2025.