Individual
LAURA KATHERINE VAN DYKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NNP, APRN
Contact information
Practice address
20 YORK ST, NEW HAVEN, CT 06510
(203) 688-2318
Mailing address
71 BROAD ST, GROTON, CT 06340-3609
(860) 448-6666
Taxonomy
Speciality
Code
Description
License number
State
363LN0000X
Neonatal Nurse Practitioner
Primary
1274
CT
Other
Enumeration date
07/26/2006
Last updated
04/15/2014
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