Individual provider · Type 1 NPI
Michelle Van Wyen
Acute Care Nurse Practitioner · East Islip, NY
NPI number
1902702202
Active
Practice location
129 Meroke Ln
East Islip, NY 11730-3312
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Acute Care Nurse Practitioner Primary | 363LA2100X | 433684 (NY) |
Acute Care Nurse Practitioner: Definition to come...
About NPI 1902702202
Michelle Van Wyen's National Provider Identifier is 1902702202, issued on Oct 15, 2026. The primary taxonomy on file is Acute Care Nurse Practitioner (363LA2100X), and the practice location is in East Islip, NY. The record was last updated on Oct 15, 2026.