Vander Hyde, Kristi

Vander Hyde, Kristi is an individual health care provider with primary practice located at 7300 Dexter-Ann Arbor Rd , Dexter MI 48130-8598. She recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Community Health, Physician Assistants & Advanced Practice Nursing Providers / Primary Care. Physician Assistants & Advanced Practice Nursing Providers / Primary Care is her primary health care specialty. Vander Hyde, Kristi can be contacted via phone (734) 426-2796.

Contact Information

Primary practice address
7300 Dexter-Ann Arbor Rd Dexter MI 48130-8598
Phone: (734) 426-2796
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 4704157442 Michigan
Physician Assistants & Advanced Practice Nursing Providers / Community Health 363LC1500X 4704157442 Michigan
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X 4704157442 Michigan

Profile Details

NPI number 1225030497
LBN Legal business name Vander Hyde, Kristi
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 1st, 2005
Last updated Dec 31st, 2015 - about 9 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1225030497 NPPES
Michigan MEDICAID 104702549
Michigan Other 0860085
Michigan MEDICAID 4851610

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