Judith Lynne Rappaport, RN MSN
Registered Nurse, Psych/Mental Health, Child & Adolescent in Philadelphia, PA. Individual provider (NPI-1).
NPI number1164070769
StatusActive
Last updated in NPPESAug 28, 2019
Details
- NPI
- 1164070769
- Entity type
- Individual (NPI-1)
- Name
- Ms. Judith Lynne Rappaport
- Credential
- RN MSN
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Aug 28, 2019
- Last updated
- Aug 28, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 163WP0807X | Registered Nurse, Psych/Mental Health, Child & Adolescent | RN290839L | PA | Yes |
Practice location
628 S Broad St Fl 3Philadelphia, PA 19146-1750
Phone 215-680-3520
Mailing address
1718 Melon StPhiladelphia, PA 19130-3303
Phone 215-680-3520
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