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Individual

MS. ROSE M. WALTZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNP

Contact information

Practice address
3601 A ST, SUITE 2204, PHILADELPHIA, PA 19134-1043
(215) 427-5000
(215) 427-5389
Mailing address
3601 A ST, SUITE 2204, PHILADELPHIA, PA 19134-1043
(215) 427-5000
(215) 427-5389

Taxonomy

Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
TP007047D
PA

Other

Enumeration date
11/19/2008
Last updated
11/19/2008
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