Van Der Valk, Irma Johanna

Van Der Valk, Irma Johanna is an individual health care provider with primary practice located at 1925 Woodwinds Dr , Woodbury MN 55125-2270. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Van Der Valk, Irma Johanna can be contacted via phone (651) 232-0100.

Contact Information

Primary practice address
1925 Woodwinds Dr Woodbury MN 55125-2270
Phone: (651) 232-0100
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X R148448-9 Minnesota

Profile Details

NPI number 1982718896
LBN Legal business name Van Der Valk, Irma Johanna
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 18th, 2006
Last updated Jul 8th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1982718896 NPPES
Minnesota MEDICAID 550617400

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