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Susannah Bauer Van Dyke, NP
Nurse Practitioner in Charlotte, North Carolina
NPI 1801917703

Susannah Bauer Van Dyke is a Nurse Practitioner based in Charlotte, NC. Susannah Bauer Van Dyke practices in Charlotte, NC and has the professional credentials of NP. The NPI Number for Susannah Bauer Van Dyke is 1801917703 and holds a License No. F334136 (North Carolina).

The current practice location address for Susannah Bauer Van Dyke is 200 Greenwich Rd, Charlotte, NC and can be reached out via phone at 704-384-8680.

Location: 200 Greenwich Rd, Charlotte, NC, 28260-0447
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1801917703
Provider Name
Susannah Bauer Van Dyke
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
200 Greenwich Rd, Charlotte, NC, 28260-0447
Phone Number
704-384-8680
Fax Number
Provider Enumeration Date
04/02/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
200 Greenwich Rd
City
Charlotte
State
North Carolina
Zip
28211-2316
Phone Number
704-384-8680
Fax Number
person
Provider Business Mailing Address Details
Address
200 Greenwich Rd
City
Charlotte
State
North Carolina
Zip
28211-2316
Phone Number
704-384-8680
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
363L00000X
License No.
5006906 (North Carolina)
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.
F334136 (New York)
Definition
Definition to come...
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