# MICHAEL JACOBUS VAN GELDER

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1841480761
- **Gender:** Man
- **Credential:** M.S., M.N., PMHNP

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 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 | AP60319975 | WA | Yes |

## Other

- **Enumeration date:** 07/26/2007
- **Last updated:** 09/02/2022