Individual
RENEE EBBERT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
34TH AND CIVIC CENTER BLVD, CHILDRENS HOSPITAL OF PHILADELPHIA, PHILADELPHIA, PA 19104-4399
(215) 590-1000
Mailing address
34TH AND CIVIC CENTER BLVD, CHILDRENS HOSPITAL OF PHILADELPHIA, PHILADELPHIA, PA 19104
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
RN531390
PA
163WN0002X
Neonatal Intensive Care Registered Nurse
Primary
SP009230
PA
Other
Enumeration date
06/16/2008
Last updated
06/16/2008
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