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Mrs. Tracy Lynn Vander Reyden, FNP
Nurse Practitioner in Goshen, Indiana
NPI 1851550115

Tracy Lynn Vander Reyden is a Nurse Practitioner based in Goshen, IN. Tracy Lynn Vander Reyden practices in Goshen, IN and has the professional credentials of FNP. The NPI Number for Tracy Lynn Vander Reyden is 1851550115 and holds a License No. 4704267843 (Indiana).

The current practice location address for Tracy Lynn Vander Reyden is 2006 S Main St Ste A, Goshen, IN and can be reached out via phone at 574-535-9100. You can also correspond with Tracy Lynn Vander Reyden through the mailing address at 2006 S MAIN ST STE A, GOSHEN, IN - 46526-5232 (mailing address contact number: 574-535-9100).

Location: 2006 S Main St Ste A, Goshen, IN, 46526-5232
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1851550115
Provider Name
Tracy Lynn Vander Reyden
Credential
FNP
Provider Entity Type
Individual
Gender
Female
Address
2006 S Main St Ste A, Goshen, IN, 46526-5232
Phone Number
574-535-9100
Fax Number
Provider Enumeration Date
06/03/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2006 S Main St Ste A
City
Goshen
State
Indiana
Zip
46526-5232
Phone Number
574-535-9100
Fax Number
person
Provider Business Mailing Address Details
Address
2006 S Main St Ste A
City
Goshen
State
Indiana
Zip
46526-5232
Phone Number
574-535-9100
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
363L00000X
License No.
71002404A (Indiana)
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.
4704267843 (Michigan)
Definition
Definition to come...
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