Elizabeth Vandyke
Allergist & Immunologist Nurse Practitioner - Family Medicine
1201 Camino De Salud Ne
Albuquerque
, New Mexico 87131-4597
Elizabeth Vandyke
Allergist & Immunologist Nurse Practitioner - Family Medicine
1201 Camino De Salud Ne
Albuquerque
, New Mexico 87131-4597
(505) 925-0100
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About
Features
Specialties
- Allergist & Immunologist
- Nurse Practitioner - Family Medicine
Languages spoken
- English
Location
First Address
- Elizabeth Vandyke
- 1201 Camino De Salud Ne
- Albuquerque, NM
- Zip : 87102-4517
- Fax : (505) 925-0100
- Phone : (505) 272-4946
Second Address
- Elizabeth Vandyke
- 1201 Camino De Salud Ne
- Albuquerque, NM
- Zip : 87131-4597
- Fax : (505) 925-0100
- Phone : (505) 272-4946
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207K00000X | Allergist & Immunologist | CNP-03490 | NM |
| Y | 363LF0000X | Nurse Practitioner - Family Medicine | CNP-03490 | NM |
National Provider Identifier
| NPI | 1144729062 |
|---|---|
| Provider Name | Elizabeth Vandyke |
| First Address | Albuquerque, NM 87102-4517 |
| Second Address | Albuquerque, NM 87131-4597 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 06/02/2018 |
| Last Update Date | 11/02/2020 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.