Healthcare Provider Details
I. General information
NPI: 1932860657
Provider Name (Legal Business Name): RACHAEL MARIE GARBER CRNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 01/05/2022
Last Update Date: 06/03/2024
Certification Date: 06/03/2024
Deactivation Date:
Reactivation Date:
III. Provider practice location address
147 GETTYS ST
GETTYSBURG PA
17325-2534
US
IV. Provider business mailing address
3421 CONCORD RD
YORK PA
17402-9001
US
V. Phone/Fax
- Phone: 717-851-3884
- Fax: 717-851-3384
- Phone: 717-851-3884
- Fax: 717-851-3384
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 208M00000X |
| Taxonomy | Hospitalist Physician |
| License Number | SP025051 |
| License Number State | PA |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 208000000X |
| Taxonomy | Pediatrics Physician |
| License Number | SP025051 |
| License Number State | PA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: