Individual
MS. JUDITH LYNNE RAPPAPORT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN MSN
Contact information
Practice address
628 S BROAD ST FL 3, PHILADELPHIA, PA 19146-1750
(215) 680-3520
Mailing address
1718 MELON ST, PHILADELPHIA, PA 19130-3303
(215) 680-3520
Taxonomy
Speciality
Code
Description
License number
State
163WP0807X
Child & Adolescent Psychiatric/Mental Health Registered Nurse
Primary
RN290839L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RN290839L
OTHER
PA
Enumeration date
08/28/2019
Last updated
08/28/2019
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