Individual
LORETTA VAN REUTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
7600 CENTRAL AVE, PHILADELPHIA, PA 19111-2442
(215) 722-8484
(215) 722-1370
Mailing address
3500 N BROAD ST RM 1A, PHILADELPHIA, PA 19140-4106
(215) 707-2433
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
SP017608
PA
363LA2100X
Acute Care Nurse Practitioner
SP017608
PA
Other
Enumeration date
08/10/2017
Last updated
04/09/2024
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