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Individual

MICHAEL JACOBUS VAN GELDER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.S., M.N., PMHNP

Contact information

Practice address
9631 N NEVADA ST STE 209, SPOKANE, WA 99218-1197
(509) 591-9007
Mailing address
9631 N NEVADA ST STE 209, SPOKANE, WA 99218-1197
(509) 591-9007
(509) 593-4676

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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