Individual
RITA T. KONZELMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
3001 E EVESHAM RD, ON-SITE SPECIALTY CARE- CRNP, VOORHEES, NJ 08043-9547
(856) 751-1600
Mailing address
1440 CONCHESTER HWY, STE 5A, GARNET VALLEY, PA 19060-2105
(856) 231-4774
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
TP003516C
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0092835
—
NJ
05
—
101061845
—
PA
Enumeration date
05/17/2006
Last updated
12/27/2016
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