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Michael Van Dyne
Nurse Practitioner in San Antonio, Texas
NPI 1548768542

Michael Van Dyne is a Nurse Practitioner based in Boerne, TX. Michael Van Dyne practices in San Antonio, TX. The NPI Number for Michael Van Dyne is 1548768542 and holds a License No. 1031936 (Texas).

The current practice location address for Michael Van Dyne is 1310 Mccullough Ave, San Antonio, TX and can be reached out via phone at 210-757-2200.

Location: 1310 Mccullough Ave, San Antonio, TX, 78006-2873
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1548768542
Provider Name
Michael Van Dyne
Credential
Provider Entity Type
Individual
Gender
Male
Address
1310 Mccullough Ave, San Antonio, TX, 78006-2873
Phone Number
210-757-2200
Fax Number
Provider Enumeration Date
01/25/2018
Last Update Date
08/17/2024
institution
Provider Business Practice Location Address Details
Address
1310 Mccullough Ave
City
San Antonio
State
Texas
Zip
78212-5601
Phone Number
210-757-2200
Fax Number
person
Provider Business Mailing Address Details
Address
1310 Mccullough Ave
City
San Antonio
State
Texas
Zip
78212-5601
Phone Number
210-757-2200
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
363L00000X
License No.
1031936 (Texas)
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
1031936 (Texas)
Definition
Definition to come...
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