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NPI Code Detail

MEDICARE: REBECCA ANN MALFARO CRNP

MEDICARE: REBECCA ANN MALFARO CRNP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LP0808XPsychiatric/Mental Health Nurse PractitionerSP019630PA

General Provider Information

NPI Number : 1073086674
Entity Type Code : Individual
Provider Name (Legal Business Name) : REBECCA ANN MALFARO CRNP
Provider Business Mailing Address
First Line : 70-4 HOLLY DR
Second Line :
City : READING
State : PA
Zip : 19606-3940
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1800 N 12TH ST
Second Line :
City : READING
State : PA
Zip : 19604-1545
Country : US
Telephone Number : 610-816-5728
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/07/2019
Last Update Date : 01/07/2019

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Directions to “ REBECCA ANN MALFARO CRNP” Practice Location

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