Individual provider · Type 1 NPI

Krystina Derrickson, CPM

Lay Midwife · Philadelphia, PA

NPI number 1114376514 Active

Practice location

1901 S 9th St
Philadelphia, PA 19148-2384

Fax (609) 751-0905

Mailing address

419 S Duncan St
Baltimore, MD 21231-2740

Specialties and licenses

TaxonomyCodeLicense
Lay Midwife Primary 175M00000X25MW00003300 (NJ)

Lay Midwife: 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.

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About NPI 1114376514

Krystina Derrickson, CPM's National Provider Identifier is 1114376514, issued on Jun 7, 2016. The primary taxonomy on file is Lay Midwife (175M00000X), and the practice location is in Philadelphia, PA. The record was last updated on May 20, 2024.