Healthcare Provider Details

I. General information

NPI: 1255626230
Provider Name (Legal Business Name): REBECCA ELIZABETH NEITHEIMER DNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/17/2011
Last Update Date: 08/07/2026
Certification Date: 08/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

847 EASTON RD STE 1500
WARRINGTON PA
18976-2906
US

IV. Provider business mailing address

847 EASTON RD STE 1500
WARRINGTON PA
18976-2906
US

V. Phone/Fax

Practice location:
  • Phone: 267-454-7147
  • Fax: 267-454-7157
Mailing address:
  • Phone: 267-454-7147
  • Fax: 267-454-7157

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP2300X
TaxonomyPrimary Care Nurse Practitioner
License NumberSP024457
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: