Individual
MRS. ELIZABETH JANETTE VANDYK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, RN, FNP-C
Contact information
Practice address
557 BROAD ST, BLOOMFIELD, NJ 07003-2885
(973) 680-8300
Mailing address
91 PARK AVE, MIDLAND PARK, NJ 07432-1454
(201) 444-6408
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
26NJ00072500
NJ
363LF0000X
Family Nurse Practitioner
26NJ00072500
NJ
Other
Enumeration date
04/13/2007
Last updated
11/04/2016
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