Individual
RACHEL PANCOE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
3401 CIVIC CENTER BLVD, PHILADELPHIA, PA 19104-4319
(215) 590-1000
Mailing address
304 RODMAN AVE, JENKINTOWN, PA 19046-2015
(215) 530-2973
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
SP024993
PA
363LP0222X
Critical Care Pediatric Nurse Practitioner
Primary
SP024993
PA
Other
Enumeration date
12/02/2021
Last updated
12/02/2021
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