Healthcare Provider Details

I. General information

NPI: 1891031076
Provider Name (Legal Business Name): RENATA ESTES CRNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/17/2012
Last Update Date: 10/10/2025
Certification Date: 10/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

300 WELSH RD BLDG 2
HORSHAM PA
19044-2248
US

IV. Provider business mailing address

1101 MARKET ST FL 19
PHILADELPHIA PA
19107-2926
US

V. Phone/Fax

Practice location:
  • Phone: 215-481-4212
  • Fax:
Mailing address:
  • Phone: 215-481-6836
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LW0102X
TaxonomyWomen's Health Nurse Practitioner
License NumberSP012393
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code363LW0102X
TaxonomyWomen's Health Nurse Practitioner
License Number26NJ00406100
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: