Van Dyke, Nicole Jennifer

Van Dyke, Nicole Jennifer is an individual health care provider with primary practice located at 401 S Van Brunt St Ste 3 , Englewood NJ 07631-4600. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Van Dyke, Nicole Jennifer can be contacted via phone (201) 569-2770.

Contact Information

Primary practice address
401 S Van Brunt St Ste 3 Englewood NJ 07631-4600
Phone: (201) 569-2770
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X

Profile Details

NPI number 1093383101
LBN Legal business name Van Dyke, Nicole Jennifer
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 15th, 2021
Last updated Jun 22nd, 2021 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers