Doctor Name: | REBECCA ROPOCH |
NPI Number: | 1295193878 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | CRNP |
License Number: | SP015920 |
Business Practice Address: | 1000 East Mountain Blvd. Wilkes-barre, PA - 187113610 |
Business Phone Number: | 5708086020 |
Business Fax Number: | 5708082306 |
Mailing Address: | 100 N Academy Ave, DANVILLE |
State: | PA |
Postal Code: | 178224903 |
Phone Number: | 5702716144 |
Fax Number: | |
NPI Enumeration Date: | 02/10/2016 |
NPI Last Update Date: | 03/08/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | SP015920 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | PA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |