Individual provider · Type 1 NPI

Shawn Mullinax Van Dyne, NP

Family Nurse Practitioner · Hurlburt Field, FL

NPI number 1255827077 Active

Practice location

113 Lielmanis Ave
Hurlburt Field, FL 32544-5613

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X9176799 (FL)

Family Nurse Practitioner: Definition to come...

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About NPI 1255827077

Shawn Mullinax Van Dyne, NP's National Provider Identifier is 1255827077, issued on Jul 4, 2018. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Hurlburt Field, FL. The record was last updated on Jan 7, 2024.