Healthcare Provider Details

I. General information

NPI: 1992217137
Provider Name (Legal Business Name): REBECCA OHLIGER CRNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/27/2017
Last Update Date: 09/03/2026
Certification Date: 09/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3400 SPRUCE STREET
PHILADELPHIA PA
19104-4206
US

IV. Provider business mailing address

3400 SPRUCE STREET
PHILADELPHIA PA
19104-4206
US

V. Phone/Fax

Practice location:
  • Phone: 215-662-2737
  • Fax: 215-349-8339
Mailing address:
  • Phone: 215-662-2737
  • Fax: 215-349-8339

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberSP018006
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: