Ellen Lorraine Van Dyke, CCSS
Case Manager/Care Coordinator · Tijeras, NM
Practice location
1 Camino Oro CtTijeras, NM 87059-7924
- Phone
- (706) 593-8731
- Fax
- (706) 593-8732
NPI record
- NPI
- 1285405175
- Entity type
- Individual (Type 1)
- Enumeration date
- January 10, 2024
- Last updated
- January 10, 2024
- Certified
- January 10, 2024
- Sole proprietor
- No
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Case Manager/Care Coordinator Primary | 171M00000X |
— | — |
Mailing address
PO Box 45681Rio Rancho, NM 87174-5681
- Phone
- (505) 226-1960
About Ellen Van Dyke
Ellen Lorraine Van Dyke, CCSS is a healthcare provider registered in the NPI registry with the primary taxonomy Case Manager/Care Coordinator (code 171M00000X). The practice location is 1 Camino Oro Ct, Tijeras, NM 87059-7924. The NPI number 1285405175 was assigned on January 10, 2024 and the record was last updated on January 10, 2024.
Frequently asked questions
What is the NPI number of Ellen Lorraine Van Dyke, CCSS?
The NPI number is 1285405175.
What is the phone number of Ellen Van Dyke?
The phone number listed for the practice location is (706) 593-8731.
Where is Ellen Van Dyke located?
1 Camino Oro Ct, Tijeras, NM 87059-7924.
What is the taxonomy code for Ellen Van Dyke?
The primary taxonomy code is 171M00000X – Case Manager/Care Coordinator.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.
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