Individual
STEPHANIE VANDYKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PNP
Contact information
Practice address
26224 N TATUM BLVD, STE 1, PHOENIX, AZ 85050
(480) 563-1111
Mailing address
26224 N TATUM BLVD, STE 1, PHOENIX, AZ 85050
(480) 563-1111
Taxonomy
Speciality
Code
Description
License number
State
163WP0200X
Pediatric Registered Nurse
Primary
RN-024101
AZ
Other
Enumeration date
12/24/2009
Last updated
12/24/2009
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