Healthcare Provider Details

I. General information

NPI: 1215538137
Provider Name (Legal Business Name): MEGAN CECILIA REINHART MSN, CRNP, FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/06/2020
Last Update Date: 11/06/2020
Certification Date: 11/06/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

303 FLORAL VALE BLVD
YARDLEY PA
19067-5525
US

IV. Provider business mailing address

303 FLORAL VALE BLVD
YARDLEY PA
19067-5525
US

V. Phone/Fax

Practice location:
  • Phone: 215-860-1500
  • Fax:
Mailing address:
  • Phone: 215-860-1500
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberSP022597
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number26NR20994600
License Number StateNJ
# 3
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN665850
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: