Healthcare Provider Details

I. General information

NPI: 1851442511
Provider Name (Legal Business Name): REBECCA JANE GELB APRN-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/16/2007
Last Update Date: 02/05/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

324 E MAIN ST STE 202
NEWARK DE
19711-7150
US

IV. Provider business mailing address

132 CRESTWOOD RD
LANDENBERG PA
19350-9132
US

V. Phone/Fax

Practice location:
  • Phone: 302-369-2751
  • Fax: 302-369-9077
Mailing address:
  • Phone: 610-274-8705
  • Fax: 302-369-9077

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberLG-0000185
License Number StateDE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: