Healthcare Provider Details

I. General information

NPI: 1578553087
Provider Name (Legal Business Name): RHONDA SUE FOLTZ CRNP
Entity Type: Individual
Gender: Female
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 10/26/2005
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

THE CHILDREN'S HOSPITAL OF PHILADELPHIA 3400 CIVIC CENTER BLVD
PHILADELPHIA PA
19104
US

IV. Provider business mailing address

2950 RISING SUN RD
ARDMORE PA
19003-1823
US

V. Phone/Fax

Practice location:
  • Phone: 215-590-3440
  • Fax:
Mailing address:
  • Phone: 610-658-0746
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0200X
TaxonomyPediatric Nurse Practitioner
License NumberSP008183
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: