Vander Pol, Brooke
Vander Pol, Brooke is an individual health care provider with primary practice located at 1708 Yakima Ave Suite 203, Tacoma WA 98405-5307. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Women's Health, which is considered as her primary health care specialty. Vander Pol, Brooke can be contacted via phone (253) 382-8150.Contact Information
Primary practice address
1708 Yakima Ave Suite 203
Tacoma WA 98405-5307
Phone: (253) 382-8150
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Women's Health | 363LW0102X | AP60074105 | Washington |
Profile Details
| NPI number | 1609015981 |
|---|---|
| LBN Legal business name | Vander Pol, Brooke |
| Credentials | ARNP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 11th, 2009 |
| Last updated | Jun 18th, 2015 - about 10 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1609015981 | NPPES |
| Washington | Other | G8936806 | MEDICARE |
| Washington | Other | 0338484 | MEDICARE |
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