Rebecca Lynne Flack, CRNP Valid NPI

Individual provider · Gerontology Nurse Practitioner · Acme, PA

NPI

1215212162

Type

Individual (Type 1)

Primary specialty

Gerontology Nurse Practitioner (Nurse Practitioner)

Specialty group

Physician Assistants & Advanced Practice Nursing Providers

Taxonomy code

363LG0600X

License number

SP003728C (PA)

Sex

Female

Sole proprietor

Yes

Enumerated

2011-10-11

Last updated

2011-10-11