Individual provider · Type 1 NPI
Tania Dee Vandyke, N.P.
Gerontology Nurse Practitioner · Grand Haven, MI
NPI number
1790783926
Active
Practice location
1310 Wisconsin St Ste 301
Grand Haven, MI 49417-2472
Fax (616) 296-1554
Mailing address
1310 Wisconsin St Ste 101
Grand Haven, MI 49417-2472
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | 4704145235 (MI) |
| Gerontology Nurse Practitioner Primary | 363LG0600X | 4704145235 (MI) |
Gerontology Nurse Practitioner: Definition to come...
Another provider at this address
Other gerontology nurse practitioner providers in Grand Haven
About NPI 1790783926
Tania Dee Vandyke, N.P.'s National Provider Identifier is 1790783926, issued on Jul 12, 2005. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Grand Haven, MI. The record was last updated on Jan 4, 2022.