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Individual
MICHAEL JACOBUS VAN GELDER
Active
Individual
MICHAEL JACOBUS VAN GELDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.S., M.N., PMHNP
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
RC00057879
WA
163WP0808X
Psychiatric/Mental Health Registered Nurse
201043039RN
OR
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
201250114NP
OR
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
AP60319975
WA
Other
Enumeration date
07/26/2007
Last updated
09/02/2022
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