Individual
RACHEL ROSE BENNOV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
220 S 47TH ST APT 204, PHILADELPHIA, PA 19139-4426
(215) 416-4414
Mailing address
220 S 47TH ST APT 204, PHILADELPHIA, PA 19139-4426
(215) 416-4414
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
SP025607
PA
Other
Enumeration date
06/22/2022
Last updated
06/22/2022
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