Provider Demographics
NPI:1487463758
Name:DYKHUIZEN, AUNDREA (NP)
Entity type:Individual
Prefix:
First Name:AUNDREA
Middle Name:
Last Name:DYKHUIZEN
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:111 E DUNLAP AVE STE 1-285
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85020-2807
Mailing Address - Country:US
Mailing Address - Phone:480-867-7171
Mailing Address - Fax:480-569-2865
Practice Address - Street 1:9250 N 3RD ST STE 3015
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85020-2425
Practice Address - Country:US
Practice Address - Phone:480-867-7171
Practice Address - Fax:480-569-2865
Is Sole Proprietor?:No
Enumeration Date:2025-01-02
Last Update Date:2025-01-30
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
AZ317410363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care