Healthcare Provider Details

I. General information

NPI: 1689197873
Provider Name (Legal Business Name): REBECCA SILVER CRNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: REBECCA KAPLAN CRNP

II. Dates (important events)

Enumeration Date: 07/20/2017
Last Update Date: 07/20/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4807 FREEMANSBURG AVE STE 250
EASTON PA
18045-5522
US

IV. Provider business mailing address

2100 MACK BLVD FL 4
ALLENTOWN PA
18103-5622
US

V. Phone/Fax

Practice location:
  • Phone: 484-591-7630
  • Fax:
Mailing address:
  • Phone: 484-884-0469
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LX0001X
TaxonomyObstetrics & Gynecology Nurse Practitioner
License NumberSP007548
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: