Individual
REGINA DENISE ROSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ACNP-C
Contact information
Practice address
1500 SPRING GARDEN ST, PHILADELPHIA, PA 19130-4067
(215) 606-6400
Mailing address
1106B RALSTON DR, MOUNT LAUREL, NJ 08054-3390
(609) 670-9730
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
26NJ00366600
NJ
363LA2100X
Acute Care Nurse Practitioner
Primary
SP011804
PA
Other
Enumeration date
07/03/2012
Last updated
07/03/2012
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