Individual
REBECCA GOODFRIEND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
WHNP-BC
Contact information
Practice address
1098 W BALTIMORE PIKE STE 3109, MEDIA, PA 19063-5139
(484) 443-2880
Mailing address
515 FITZWATER ST # 2, PHILADELPHIA, PA 19147-3012
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
266109
TN
163W00000X
Registered Nurse
781848
PA
363LW0102X
Women's Health Nurse Practitioner
Primary
SP028952
PA
Other
Enumeration date
11/20/2023
Last updated
05/29/2024
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