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Individual

REBECCA R POOLE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CRNP

Contact information

Practice address
49 ROCK SPRINGS RD, CONOWINGO, MD 21918-1352
(410) 378-9696
(410) 378-9922
Mailing address
PO BOX 99, CONOWINGO, MD 21918-0099
(410) 378-9696
(410) 378-9922

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
LG-0013636
DE
363LF0000X
Family Nurse Practitioner
Primary
SP015915
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
SP015915
NURSE PRACTITIONER LICENSE
PA
Enumeration date
02/09/2016
Last updated
04/08/2026
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