Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Sandra Lynne Van Dyke, FNP-C

Individual provider Family Nurse Practitioner · NPI 1194617696

Sandra Lynne Van Dyke, FNP-C is a Nurse Practitioner in Phoenix, Arizona. Qualified in 2025, 1 year ago. Practices with Advanced Spine and Pain LLC, a 31-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Arizona.

Years since qualifying
1
Licensed in
AZ
In the registry since
2025
What do these letters mean?
FNP-C — Family Nurse Practitioner, Certified
A family nurse practitioner certified by the AANP.

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Practice location Address checks out

2525 W Greenway Rd Ste 300
Phoenix, AZ 85023-4292
Phone: (480) 573-0130
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2563 S Val Vista Dr, Gilbert, AZ 85295-1804 — (480) 573-0130

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 326285 (AZ)

Record details

NPI number1194617696
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP-C
Sole proprietorNo
NPI enumeratedJuly 18, 2025
Last updated in NPPESJuly 18, 2025
Certification dateJuly 18, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Advanced Spine And Pain Llc — 31 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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