PHILIPPA VAN DER WAL RN CNM NPI 1659451409

NPI Information

NPI: 1659451409
Provider Name: PHILIPPA VAN DER WAL, RN CNM
Classification: Registered Nurse - 163WW0101X
Entity Type: Individual

Specialization: Women's Health Care, Ambulatory

Address:
3260 KERNER BLVD
SAN RAFAEL, CA
ZIP 94901
Phone: (415) 499-4030
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Philippa Van Der Wal, RN CNM is a women's health care and ambulatory registered nurse in San Rafael, CA. Philippa Van Der Wal, RN CNM NPI is 1659451409. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

3260 KERNER BLVD
SAN RAFAEL, CA
ZIP 94901-861
Phone: (415) 499-4030
Fax: (415) 507-2634

The enumeration date for this NPI number is 10/16/2006 and was last updated on 12/18/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	367A00000X	Advanced Practice Midwife		739	CALIFORNIA	No
2	163WW0101X	Registered Nurse	Women's Health Care, Ambulatory	42195	CALIFORNIA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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