Individual
MS. REBECCA LYNNE FLACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
109 CLAYPIKE RD, ACME, PA 15610-2172
(724) 423-6589
Mailing address
109 CLAYPIKE RD, ACME, PA 15610-2172
(724) 423-6589
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
SP003728C
PA
Other
Enumeration date
10/11/2011
Last updated
10/11/2011
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