Van Der Wal, Philippa

Van Der Wal, Philippa is an individual health care provider with primary practice located at 3260 Kerner Blvd , San Rafael CA 94901-4861. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Women's Health Care, Ambulatory, Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife. Nursing Service Providers / Women's Health Care, Ambulatory is her primary health care specialty. Van Der Wal, Philippa can be contacted via phone (415) 499-4030.

Contact Information

Primary practice address
3260 Kerner Blvd San Rafael CA 94901-4861
Phone: (415) 499-4030
Fax: (415) 507-2634
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Women's Health Care, Ambulatory 163WW0101X 42195 California
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X 739 California

Profile Details

NPI number 1659451409
LBN Legal business name Van Der Wal, Philippa
Credentials RN CNM
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 16th, 2006
Last updated Dec 18th, 2008 - about 16 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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