Healthcare Provider Details

I. General information

NPI: 1447189659
Provider Name (Legal Business Name): TINA D LAHR CRNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/14/2026
Last Update Date: 05/14/2026
Certification Date: 05/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1818 ARDIN DR
WEST NORRITON PA
19403-2702
US

IV. Provider business mailing address

1818 ARDIN DR
WEST NORRITON PA
19403-2702
US

V. Phone/Fax

Practice location:
  • Phone: 610-349-0576
  • Fax:
Mailing address:
  • Phone: 610-349-0576
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2100X
TaxonomyAcute Care Nurse Practitioner
License NumberSP034388
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: