Healthcare Provider Details

I. General information

NPI: 1639534621
Provider Name (Legal Business Name): HAYLEY ERIN RAPP DNP, APRN, WHNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/18/2015
Last Update Date: 06/01/2022
Certification Date: 05/17/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

95 OLD MARLTON PIKE W
MARLTON NJ
08053
US

IV. Provider business mailing address

95 OLD MARLTON PIKE WEST
MARLTON NJ
08053
US

V. Phone/Fax

Practice location:
  • Phone: 610-704-3331
  • Fax:
Mailing address:
  • Phone: 856-267-8100
  • Fax: 973-290-8370

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LW0102X
TaxonomyWomen's Health Nurse Practitioner
License NumberSP017746
License Number StatePA
# 2
Primary TaxonomyY
Taxonomy Code363LW0102X
TaxonomyWomen's Health Nurse Practitioner
License Number26NJ00609100
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: