National Provider Identifier Database

KRYSTINA DERRICKSON, CPM – NPI #1114376514
Midwife, Lay

A person qualified by experience and limited specialized training to provide obstetric and neo-natal care in the management of women having normal pregnancy, labor and childbirth. The lay midwife is licensed in some states.


Contact Information

KRYSTINA DERRICKSON, CPM
1901 S 9TH ST
PHILADELPHIA, PA19148-2384
Phone: 609-436-5769
Fax: 609-751-0905
Website:
Specialty Taxonomy Code
* Midwife, Lay 175M00000X

* Indicates primary specialty

NPI Profile & details for KRYSTINA DERRICKSON

NPI Number 1114376514
Credentials CPM
Entity Individual
Enumeration date 06/07/2016
Last updated 05/20/2024 - About 2 years ago
Sole proprietor1 Yes
Identifiers
  • NJ License #: 25MW00003300
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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