Individual provider · Type 1 NPI

Corinne Lynn Van Dyke, PA-C

Medical Physician Assistant · Aurora, CO

NPI number 1447971965 Active

Practice location

13123 E 16th Ave
Aurora, CO 80045-7106

Mailing address

PO Box 110429
Aurora, CO 80042-0429

Other practice locations

  • 2133 S Eldridge St, Lakewood, CO 80228-5934 · (303) 547-5266

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XPA.0008591 (CO)

Medical Physician Assistant: Definition to come...

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About NPI 1447971965

Corinne Lynn Van Dyke, PA-C's National Provider Identifier is 1447971965, issued on Sep 5, 2022. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Aurora, CO. The record was last updated on Aug 19, 2024.