Provider Demographics
NPI:1689650608
Name:TORNAMBE, RACHEL F (CRNP)
Entity type:Individual
Prefix:
First Name:RACHEL
Middle Name:F
Last Name:TORNAMBE
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:8815 GERMANTOWN AVE
Mailing Address - Street 2:STE 40
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19118-2722
Mailing Address - Country:US
Mailing Address - Phone:215-248-3100
Mailing Address - Fax:215-248-3971
Practice Address - Street 1:8815 GERMANTOWN AVE
Practice Address - Street 2:STE 40
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19118-2722
Practice Address - Country:US
Practice Address - Phone:215-248-3100
Practice Address - Fax:215-248-3971
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-12-21
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PAVP006798G363LX0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LX0001XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAQ44818Medicare UPIN