Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
BREANNA NICOLE VANDYK, NP
DeactivatedBREANNA NICOLE VANDYK, NP is a Family Nurse Practitioner healthcare provider located in PORT JERVIS, New York. NPI 1831883404 is deactivated in the NPPES registry. Verify at CMS.
Family Nurse Practitioner · PORT JERVIS, NY
This NPI has been deactivated.
The record was deactivated on December 13, 2024.
Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated.
Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.
Registration Details
- NPI Number
- 1831883404
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 6, 2023 (1.5205479452055 yrs)
- Last Updated
- Mar 11, 2025
- Deactivated
- Dec 13, 2024
- License
-
355846 (NY)
Practice Information
- Address
-
140 HAMMOND STPORT JERVIS, NY, 127712607Browse NY providers · Browse ZIP 12771
- Phone
- 8455638000
- Primary Specialty
-
Family Nurse Practitioner
363LF0000X
Other Family Nurse Practitioner Providers in PORT JERVIS, NY
| Name | Credential | NPI |
|---|---|---|
| EMMANISE LOUIS I | FNP | 1255473666 |
| MRS. MICHELE AMUNDSON | FNP | 1578882981 |
| MRS. AVION J THOMAS-WALSH | FNP | 1235483082 |
| LEROY LEONARD JR. | FNP | 1407247448 |
| MRS. WENDY DAWN RODRIGUEZ | FNP-BC | 1760925689 |
| KELLY YORKE | FNP-C | 1356847545 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.