Vandyke, Carla L.
Vandyke, Carla L. is an individual health care provider with primary practice located at Phs Wound Clinic 5901 Harper Drive Ne, Albuquerque NM 87109. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Clinical Nurse Specialist, which is considered as her primary health care specialty. Vandyke, Carla L. can be contacted via phone (505) 823-8870.Contact Information
Primary practice address
Phs Wound Clinic 5901 Harper Drive Ne
Albuquerque NM 87109
Phone: (505) 823-8870
Fax: (505) 823-8875
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Clinical Nurse Specialist | 364S00000X | R31478 | New Mexico |
Profile Details
| NPI number | 1134213937 |
|---|---|
| LBN Legal business name | Vandyke, Carla L. |
| Credentials | Clinical Nurse Specialist (CNS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 3rd, 2006 |
| Last updated | Oct 29th, 2009 - about 16 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1134213937 | NPPES |
| New Mexico | MEDICAID | 37027859 |
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