Individual
RACHEL Q PHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
431 NORTH 21ST ST., CAMP HILL, PA 17011-8735
(717) 763-3730
(717) 763-3734
Mailing address
100 N ACADEMY AVE, DANVILLE, PA 17822-4903
(570) 271-6144
(570) 271-6578
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
SP013389
PA
363LF0000X
Family Nurse Practitioner
SP013389
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103051964
—
PA
Enumeration date
12/19/2013
Last updated
08/31/2020
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