Individual
KRISTINE ANNE VAN DYKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
290 S MONACO PKWY, DENVER, CO 80224
(303) 355-2525
(303) 333-6960
Mailing address
2837 S OSWEGO COURT, AURORA, CO 80014-3112
(303) 745-3864
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
52014
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00259565
RR MEDICARE
CO
Enumeration date
10/16/2006
Last updated
07/08/2007
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