Individual provider · Type 1 NPI

Andrew Van

Student in an Organized Health Care Education/Training Program · Philadelphia, PA

NPI number 1205519006 Active

Practice location

901 Walnut St
Philadelphia, PA 19107-5214

Call (215) 955-9425 Map

Mailing address

901 Walnut St Fl 4
Philadelphia, PA 19107-5214

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program 390200000XNone listed
Student in an Organized Health Care Education/Training Program Primary 390200000XMT238086 (PA)

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1205519006

Andrew Van's National Provider Identifier is 1205519006, issued on Aug 8, 2023. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Philadelphia, PA. The record was last updated on Aug 29, 2026.