Doctor Name: | TANIA DEE VANDYKE |
NPI Number: | 1790783926 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | N.P. |
License Number: | 4704145235 |
Business Practice Address: | 1310 Wisconsin Ave Suite 301 Grand Haven, MI - 494172472 |
Business Phone Number: | 6168424220 |
Business Fax Number: | 6168444537 |
Mailing Address: | 1310 Wisconsin Ave, Suite 101 GRAND HAVEN |
State: | MI |
Postal Code: | 494172472 |
Phone Number: | 6168444528 |
Fax Number: | 6168475608 |
NPI Enumeration Date: | 07/12/2005 |
NPI Last Update Date: | 02/04/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163W00000X |
License Number: | 4704145235 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | MI |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N. |