Whalio Doctors

NPI 1114376514

Krystina Derrickson, CPM

Practitioner Lay Midwife Philadelphia, PA

Practice location

Address
1901 S 9th St, Philadelphia, PA 19148-2384
Phone
(609) 436-5769
Fax
(609) 751-0905
Mailing address
419 S Duncan St, Baltimore, MD 21231-2740

Registered specialties

Lay Midwife Primary
Other Service Providers Taxonomy 175M00000X Licence 25MW00003300 (NJ)

Registry record

NPI
1114376514
Entity type
Individual
Sex (as registered)
Female
NPI issued
7 Jun 2016
Record last updated
20 May 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.