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NICOLE ROSE SPECTOR

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
2144 CECIL B MOORE AVE, PHILADELPHIA, PA 19121-4014
(215) 320-6187
Mailing address
2144 CECIL B MOORE AVE, PHILADELPHIA, PA 19121-4014

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN2313512
MA
163W00000X
Registered Nurse
RN733041
PA
363LP2300X
Primary Care Nurse Practitioner
Primary
SP022530
PA

Other

Enumeration date
08/26/2020
Last updated
09/09/2025
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