Healthcare Provider Details

I. General information

NPI: 1174390843
Provider Name (Legal Business Name): YANRONG LI CRNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/04/2023
Last Update Date: 08/07/2026
Certification Date: 08/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2510 MARYLAND RD STE 150
WILLOW GROVE PA
19090-1143
US

IV. Provider business mailing address

1980 S EASTON RD STE 130
DOYLESTOWN PA
18901-7103
US

V. Phone/Fax

Practice location:
  • Phone: 215-674-3337
  • Fax:
Mailing address:
  • Phone: 215-600-4045
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LA2100X
TaxonomyAcute Care Nurse Practitioner
License NumberSP036494
License Number StatePA
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberSP028855
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: