Individual
RACHEL TKACZYK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
34TH STREET AND CIVIC CENTER BLVD, PHILADELPHIA, PA 19104
(215) 590-3233
Mailing address
34TH STREET AND CIVIC CENTER BLVD, PHILADELPHIA, PA 19104
(215) 590-3233
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
SP011610
PA
Other
Enumeration date
10/06/2011
Last updated
05/05/2017
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