Individual
ALEXIS REBOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, CRNP
Contact information
Practice address
3550 MARKET ST FL 4, PHILADELPHIA, PA 19104-3368
(215) 590-2178
(215) 590-4619
Mailing address
2323 RACE ST UNIT 817, PHILADELPHIA, PA 19103-1084
(856) 905-3675
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
SP030980
PA
Other
Enumeration date
10/21/2024
Last updated
10/21/2024
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