Individual provider · Type 1 NPI
Rachel Pancoe, CRNP
Critical Care Pediatric Nurse Practitioner · Philadelphia, PA
NPI number
1780342162
Active
Practice location
3401 Civic Center Blvd
Philadelphia, PA 19104-4319
Mailing address
304 Rodman Ave
Jenkintown, PA 19046-2015
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | SP024993 (PA) |
| Critical Care Pediatric Nurse Practitioner Primary | 363LP0222X | SP024993 (PA) |
Critical Care Pediatric Nurse Practitioner: Definition to come...
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About NPI 1780342162
Rachel Pancoe, CRNP's National Provider Identifier is 1780342162, issued on Dec 2, 2021. The primary taxonomy on file is Critical Care Pediatric Nurse Practitioner (363LP0222X), and the practice location is in Philadelphia, PA. The record was last updated on Dec 2, 2021.