Provider Demographics
NPI:1861647760
Name:SULZBACH, RHODA K (CRNP)
Entity Type:Individual
Prefix:
First Name:RHODA
Middle Name:K
Last Name:SULZBACH
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:301 S 8TH ST
Mailing Address - Street 2:THE GARFIELD DUNCAN BUILDING, STE. 2C
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19106-4000
Mailing Address - Country:US
Mailing Address - Phone:215-829-5022
Mailing Address - Fax:215-829-5060
Practice Address - Street 1:301 S 8TH ST
Practice Address - Street 2:THE GARFIELD DUNCAN BUILDING, STE. 2C
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19106-4000
Practice Address - Country:US
Practice Address - Phone:215-829-5022
Practice Address - Fax:215-829-5060
Is Sole Proprietor?:No
Enumeration Date:2008-11-20
Last Update Date:2017-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAVP006766B363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily