DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

KRYSTINA DERRICKSON, CPM

Active Sole Proprietor

KRYSTINA DERRICKSON, CPM is a Midwife, Lay healthcare provider located in PHILADELPHIA, Pennsylvania. NPI 1114376514 is currently active in the NPPES registry. Verify at CMS.

Midwife, Lay · PHILADELPHIA, PA

Registration Details

NPI Number
1114376514
Provider Type
Individual
Gender
Female
NPI Issued
Jun 7, 2016 (10.144455954735 yrs)
Last Updated
May 20, 2024
License
25MW00003300 (NJ)
Sole Proprietor
Yes

Practice Information

Address
1901 S 9TH ST
PHILADELPHIA, PA, 191482384
Browse PA providers · Browse ZIP 19148
Phone
6094365769
Fax
6097510905
Primary Specialty
Midwife, Lay
175M00000X

Other Midwife, Lay Providers in PHILADELPHIA, PA

Name Credential NPI
MS. RUBY DAVIS MHA/GER 1336748524
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.