Vander Reyden, Tracy Lynn

Vander Reyden, Tracy Lynn is an individual health care provider with primary practice located at 2006 S Main St Ste A , Goshen IN 46526-5232. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Vander Reyden, Tracy Lynn can be contacted via phone (574) 535-9100.

Contact Information

Primary practice address
2006 S Main St Ste A Goshen IN 46526-5232
Phone: (574) 535-9100
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 4704267843 Michigan
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 71002404A Indiana

Profile Details

NPI number 1851550115
LBN Legal business name Vander Reyden, Tracy Lynn
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 3rd, 2008
Last updated Aug 4th, 2020 - 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.

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