Individual provider · Type 1 NPI
Shannon Lee Rakitis, CRNP
Nurse Practitioner · Philadelphia, PA
Practice location
3400 Civic Center Blvd
Philadelphia, PA 19104-5127
Mailing address
329 Keswick Dr
Woolwich Township, NJ 08085-2541
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner Primary | 363L00000X | SP032917 (PA) |
Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…
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About NPI 1508751264
Shannon Lee Rakitis, CRNP's National Provider Identifier is 1508751264, issued on Jun 11, 2025. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Philadelphia, PA. The record was last updated on Jun 11, 2025.