Healthcare Provider Details

I. General information

NPI: 1508123225
Provider Name (Legal Business Name): REBECCA ROSE BIBRO APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: REBECCA ROSE KRINSKY

II. Dates (important events)

Enumeration Date: 04/19/2012
Last Update Date: 04/23/2026
Certification Date: 04/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

801 OSTRUM ST
BETHLEHEM PA
18015-1000
US

IV. Provider business mailing address

270 MAIN ST
HARLEYSVILLE PA
19438-2400
US

V. Phone/Fax

Practice location:
  • Phone: 215-256-1999
  • Fax:
Mailing address:
  • Phone: 215-256-1999
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberSP010579
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code363LP0200X
TaxonomyPediatric Nurse Practitioner
License NumberSP010579
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: