Individual
RACHEL MONICA REIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, CRNP
Contact information
Practice address
255 S 17TH ST STE 2304, PHILADELPHIA, PA 19103-6223
(267) 639-5901
Mailing address
1417 S LEITHGOW TER, PHILADELPHIA, PA 19147-5934
Taxonomy
Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
RN614526
PA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
SP018400
PA
Other
Enumeration date
06/24/2017
Last updated
03/28/2018
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