NPI 1134213937

Carla L. Vandyke, CNS

Practitioner Clinical Nurse Specialist Albuquerque, NM

Practice location

Address: Phs Wound Clinic 5901 Harper Drive NE, Albuquerque, NM 87109
Phone: (505) 823-8870
Fax: (505) 823-8875
Mailing address: PO Box 26666 Phs Provider Enrollment, Albuquerque, NM 87125-6666

Registered specialties

Clinical Nurse Specialist Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 364S00000X Licence R31478 (NM)

Other Clinical Nurse Specialist providers in New Mexico →

Registry record

NPI: 1134213937
Entity type: Individual
Sex (as registered): Female
NPI issued: 3 Oct 2006
Record last updated: 29 Oct 2009

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.