Individual provider · Type 1 NPI
Rosanna Pollack, CRNP
Pediatric Nurse Practitioner · Philadelphia, PA
NPI number
1184637217
Active
Practice location
3401 Civic Center Blvd, 4th Floor Wood Building
Philadelphia, PA 19104-4302
Mailing address
40 Huckleberry Way
Turnersville, NJ 08012-5816
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Nurse Practitioner Primary | 363LP0200X | TP004579N (PA) |
Pediatric Nurse Practitioner: Definition to come...
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About NPI 1184637217
Rosanna Pollack, CRNP's National Provider Identifier is 1184637217, issued on Aug 13, 2006. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Philadelphia, PA. The record was last updated on Jul 8, 2007.