Individual
REBECCA CARROLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGACNP-BC
Contact information
Practice address
1 CONVENTION AVE, PHILADELPHIA, PA 19104-4311
(215) 662-4000
Mailing address
129 MONROE ST, PHILADELPHIA, PA 19147-3411
(614) 572-8280
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
SP028912
PA
Other
Enumeration date
01/02/2024
Last updated
01/02/2024
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