Healthcare Provider Details

I. General information

NPI: 1386354876
Provider Name (Legal Business Name): RACHEL MARIE KLINGES RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/25/2022
Last Update Date: 09/22/2026
Certification Date: 09/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1412 FAIRMOUNT AVE
PHILADELPHIA PA
19130-2908
US

IV. Provider business mailing address

4122 5TH ST NW APT 2
WASHINGTON DC
20011-5946
US

V. Phone/Fax

Practice location:
  • Phone: 215-235-9600
  • Fax: 215-684-5360
Mailing address:
  • Phone: 610-457-7542
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberSP029469
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: