Individual provider · Type 1 NPI

Susannah Bauer Van Dyke, NP

Nurse Practitioner · Charlotte, NC

NPI number 1801917703 Active

Practice location

200 Greenwich Rd
Charlotte, NC 28211-2316

Mailing address

PO Box 60447
Charlotte, NC 28260-0447

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner 363LF0000XF334136 (NY)
Nurse Practitioner Primary 363L00000X5006906 (NC)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1801917703

Susannah Bauer Van Dyke, NP's National Provider Identifier is 1801917703, issued on Apr 2, 2007. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Charlotte, NC. The record was last updated on Nov 15, 2022.