Individual provider · Type 1 NPI

Kristen Vandyke

Licensed Practical Nurse · Waverly, NY

NPI number 1346056728 Active

Practice location

31 Circle Dr
Waverly, NY 14892-9744

Call (570) 423-4629 Map

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse 164W00000XPN304019 (PA)
Licensed Practical Nurse Primary 164W00000X328099 (NY)

Licensed Practical Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

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About NPI 1346056728

Kristen Vandyke's National Provider Identifier is 1346056728, issued on Dec 10, 2024. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Waverly, NY. The record was last updated on Dec 10, 2024.