Individual
GENEVIEVE LOUISE ROTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
915 OLD FERN HILL RD, WEST CHESTER, PA 19380-4269
(610) 696-2850
Mailing address
207 N BROAD ST FL 3, PHILADELPHIA, PA 19107-1500
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
SP027155
PA
Other
Enumeration date
03/08/2023
Last updated
03/08/2023
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