Provider Demographics
NPI:1194789347
Name:STOCK, RITA C (MSN, CRNP)
Entity type:Individual
Prefix:MS
First Name:RITA
Middle Name:C
Last Name:STOCK
Suffix:
Gender:F
Credentials:MSN, CRNP
Other - Prefix:
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Mailing Address - Street 1:1421 HIGHLAND AVE
Mailing Address - Street 2:
Mailing Address - City:ABINGTON
Mailing Address - State:PA
Mailing Address - Zip Code:19001-2610
Mailing Address - Country:US
Mailing Address - Phone:215-572-7880
Mailing Address - Fax:215-572-8024
Practice Address - Street 1:1421 HIGHLAND AVE
Practice Address - Street 2:
Practice Address - City:ABINGTON
Practice Address - State:PA
Practice Address - Zip Code:19001-2610
Practice Address - Country:US
Practice Address - Phone:215-572-7880
Practice Address - Fax:215-572-8024
Is Sole Proprietor?:No
Enumeration Date:2006-04-14
Last Update Date:2011-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAVP004095B363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA2342496000OtherKEYSTONE HEALTH PLAN EAST
PA30012910OtherKEYSTONE MERCY-NORRISTOWN
PA100928694-0002Medicaid
PA1194789347OtherHEALTH PARTNERS
PA1666865OtherPERSONAL/BLUE CHOICE
355871OtherUNITED HEALTHARE
PA2342496000OtherINDEPENDENCE BLUE CROSS
PAST1666865OtherHIGHMARK BLUE SHIELD
1609706OtherAETNA
PA30019380OtherKEYSTONE MERCY-ABINGTON