Active NPIIndividual providerSole proprietor

Ms. Rachel Degtyarev, FNP

Nurse Practitioner, Family in Camden, New Jersey

NPI Number1205371770
Practice location
1 Cooper Plz Rm 513, Camden, NJ 08103-1461
Fax
—
Last updated
June 20, 2019

Rachel Degtyarev is a Nurse Practitioner, Family based in Camden, NJ. Rachel Degtyarev practices in Camden, NJ and has the professional credentials of FNP. The NPI Number for Rachel Degtyarev is 1205371770 and holds a License No. SP016824 (PA). The current practice location address for Rachel Degtyarev is 1 Cooper Plz Rm 513, Camden, NJ 08103-1461 and can be reached out via phone at 856-963-3715.

Provider Profile Details

NPI Number
1205371770
Provider Name
Rachel Degtyarev
Credential
FNP
Provider Entity Type
Individual
Gender
Female
Address
1 Cooper Plz Rm 513, Camden, NJ 08103-1461
Phone Number
856-963-3715
Primary Taxonomy
Nurse Practitioner, Family · 363LF0000X
Sole Proprietor
Yes
Provider Enumeration Date
December 19, 2016
Last Update Date
June 20, 2019
NPI Status
Active

Provider Business Practice Location Address Details

Address
1 Cooper Plz Rm 513
Camden, NJ 08103-1461
City
Camden
Zip
08103-1461
Phone Number
856-963-3715
Camden, NJ 08103Get directions →

Provider Business Mailing Address Details

Address
1 Federal St # 200
Camden, NJ 08103-1088
City
Camden
State
NJ
Zip
08103-1088
Phone Number
856-356-4924

License Information

License Number (1)
SP016824
License State (1)
PA
Taxonomy (1)
Nurse Practitioner, Family · 363LF0000X
License Number (2)
26NJ00690500
License State (2)
NJ
Taxonomy (2)
Nurse Practitioner, Family · 363LF0000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

Other Nurse Practitioner, Family providers near Camden, NJ

View all Nurse Practitioner, Family providers in Camden →

Frequently Asked Questions

What is the NPI number of Ms. Rachel Degtyarev, FNP?

The NPI number of Ms. Rachel Degtyarev, FNP is 1205371770. It was assigned on December 19, 2016 and is currently active in the NPPES registry.

What is the specialty of Ms. Rachel Degtyarev, FNP?

Ms. Rachel Degtyarev, FNP is registered under the primary taxonomy Nurse Practitioner, Family (code 363LF0000X), licensed in PA under license number SP016824.

Where does Ms. Rachel Degtyarev, FNP practice?

The practice location is 1 Cooper Plz Rm 513, Camden, NJ 08103-1461. The office can be reached at 856-963-3715 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1205371770 directly on the NPPES registry website.

Browse related providers