Provider Demographics
NPI:1437427515
Name:VAN DER LAAN, JOYA GABRIELLE (MSN, FNP-BC)
Entity Type:Individual
Prefix:MRS
First Name:JOYA
Middle Name:GABRIELLE
Last Name:VAN DER LAAN
Suffix:
Gender:F
Credentials:MSN, FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:513 N WARWICK AVE
Mailing Address - Street 2:
Mailing Address - City:WESTMONT
Mailing Address - State:IL
Mailing Address - Zip Code:60559-1550
Mailing Address - Country:US
Mailing Address - Phone:773-410-7893
Mailing Address - Fax:484-891-1602
Practice Address - Street 1:513 N WARWICK AVE
Practice Address - Street 2:
Practice Address - City:WESTMONT
Practice Address - State:IL
Practice Address - Zip Code:60559-1550
Practice Address - Country:US
Practice Address - Phone:773-410-7893
Practice Address - Fax:484-891-1602
Is Sole Proprietor?:Yes
Enumeration Date:2011-12-05
Last Update Date:2020-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL277.000928363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily