Individual
REBECCA PROSSER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
833 CHESTNUT STREET, 1ST FLOOR, PHILADELPHIA, PA 19107-4420
(215) 955-5000
Mailing address
833 CHESTNUT STREET, 1ST FLOOR, PHILADELPHIA, PA 19107-4420
(215) 955-5000
(215) 923-1089
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
SP017377
PA
367A00000X
Advanced Practice Midwife
MW010438
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103300667
—
PA
Enumeration date
04/07/2017
Last updated
02/15/2019
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