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NPI Code Detail

MEDICARE: RACHEL ELIZABETH ROETTGER CRNP

MEDICARE: RACHEL ELIZABETH ROETTGER 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
1363LF0000XFamily Nurse PractitionerSP011907PA

General Provider Information

NPI Number : 1871866574
Entity Type Code : Individual
Provider Name (Legal Business Name) : RACHEL ELIZABETH ROETTGER CRNP
Provider Business Mailing Address
First Line : 5001 TOWNSHIP LINE RD
Second Line :
City : DREXEL HILL
State : PA
Zip : 19026-4821
Country : US
Telephone Number : 866-389-2727
Fax Number :
Provider Business Practice Location Address
First Line : 5001 TOWNSHIP LINE RD
Second Line :
City : DREXEL HILL
State : PA
Zip : 19026-4821
Country : US
Telephone Number : 866-389-2727
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/12/2012
Last Update Date : 01/08/2022

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Directions to “ RACHEL ELIZABETH ROETTGER CRNP” Practice Location

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