NPI 1225681695

Lydia Jeanette van Dyke, APRNCNM

Practitioner Advanced Practice Midwife Chattanooga, TN

Practice location

Address: 1511 Gunbarrel Rd STE 111, Chattanooga, TN 37421-3897
Phone: (423) 266-6116
Fax: (423) 498-3633
Mailing address: 1032 McCallie Ave STE 310, Chattanooga, TN 37403-2836

Registered specialties

Advanced Practice Midwife Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 367A00000X Licence 25989 (TN)

Other Advanced Practice Midwife providers in Tennessee →

Registry record

NPI: 1225681695
Entity type: Individual
Sex (as registered): Female
NPI issued: 24 Jul 2019
Record last updated: 24 Jul 2019

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.