Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kristen Vandyke

Individual provider Licensed Practical Nurse · NPI 1346056728

Kristen Vandyke is a Licensed Practical Nurse in Waverly, New York. Practices as a sole proprietor. Licensed in New York and Pennsylvania.

Licensed in
NY, PA
In the registry since
2024
Specialties on file
2

Practice location Address checks out

31 Circle Dr
Waverly, NY 14892-9744
Phone: (570) 423-4629
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Licensed Practical Nurse (primary) Taxonomy 164W00000X · Licence 328099 (NY)
Licensed Practical Nurse Taxonomy 164W00000X · Licence PN304019 (PA)

Record details

NPI number1346056728
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedDecember 10, 2024
Last updated in NPPESDecember 10, 2024
Certification dateDecember 10, 2024
Mailing address31 Circle Dr, Waverly, NY 14892-9744

Other providers in Waverly