Individual provider · Type 1 NPI
Breanna Nicole Vandyk, NP
Family Nurse Practitioner · Port Jervis, NY
NPI number
1831883404
Active · reactivated Jan 28, 2025
Practice location
140 Hammond St
Port Jervis, NY 12771-2607
Mailing address
2570 Route 9W Ste 10
Cornwall, NY 12518-1370
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 355846 (NY) |
Family Nurse Practitioner: Definition to come...
5 other providers at this address
- Cornerstone Family HealthcareFederally Qualified Health Center (FQHC) Port Jervis, NY NPI 1831712629
- Anna Karena Stratis, MDGeneral Practice Physician Port Jervis, NY NPI 1356874853
- Wendy Dawn Rodriguez, FNP-BCFamily Nurse Practitioner Port Jervis, NY NPI 1760925689
- Whitney Rebecca White, DMDGeneral Practice Dentistry Port Jervis, NY NPI 1184125551
- Zaharoula Maris, DMDGeneral Practice Dentistry Port Jervis, NY NPI 1962624569
Other family nurse practitioner providers in Port Jervis
- Sheri SucciFamily Nurse Practitioner Port Jervis, NY NPI 1063053973
- Avion J. Thomas-Walsh, FNPFamily Nurse Practitioner Port Jervis, NY NPI 1235483082
- Emmanise Louis I, FNPFamily Nurse Practitioner Port Jervis, NY NPI 1255473666
- Priscilla Dicenzo, FNP-BCFamily Nurse Practitioner Port Jervis, NY NPI 1275470957
- Kelly Yorke, FNP-CFamily Nurse Practitioner Port Jervis, NY NPI 1356847545
- Lindsay Pallini, FNPFamily Nurse Practitioner Port Jervis, NY NPI 1376338061
- Leroy Leonard Jr., FNPFamily Nurse Practitioner Port Jervis, NY NPI 1407247448
- Michele Amundson, FNPFamily Nurse Practitioner Port Jervis, NY NPI 1578882981
About NPI 1831883404
Breanna Nicole Vandyk, NP's National Provider Identifier is 1831883404, issued on Jun 6, 2023. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Port Jervis, NY. The record was last updated on Mar 11, 2025.