Vander Pol, Brooke

Vander Pol, Brooke is an individual health care provider with primary practice located at 1708 Yakima Ave Suite 203, Tacoma WA 98405-5307. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Women's Health, which is considered as her primary health care specialty. Vander Pol, Brooke can be contacted via phone (253) 382-8150.

Contact Information

Primary practice address
1708 Yakima Ave Suite 203 Tacoma WA 98405-5307
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Women's Health 363LW0102X AP60074105 Washington

Profile Details

NPI number 1609015981
LBN Legal business name Vander Pol, Brooke
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 11th, 2009
Last updated Jun 18th, 2015 - about 9 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 1609015981 NPPES
Washington Other G8936806 MEDICARE
Washington Other 0338484 MEDICARE

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