Individual
MS. RACHEL DEGTYAREV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1 COOPER PLZ RM 513, CAMDEN, NJ 08103-1461
(856) 963-3715
Mailing address
1 FEDERAL ST # 200, CAMDEN, NJ 08103-1088
(856) 356-4924
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
26NJ00690500
NJ
363LF0000X
Family Nurse Practitioner
SP016824
PA
Other
Enumeration date
12/19/2016
Last updated
06/20/2019
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