Individual
ELENA ROUCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
900 WALNUT ST, PHILADELPHIA, PA 19107-5191
(215) 955-7000
Mailing address
926 CATHARINE ST, PHILADELPHIA, PA 19147-2703
(215) 280-6848
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
SP030672
PA
Other
Enumeration date
10/14/2024
Last updated
10/14/2024
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