Individual
JANE TOBIAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
2000 SPROUL ROAD, SUITE 206, BROOMALL, PA 19008
(610) 284-0200
(610) 353-7932
Mailing address
2000 SPROUL ROAD, SUITE 206, BROOMALL, PA 19008
(610) 284-0200
(610) 353-7932
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
TP005743D
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
003809
PRESCRIPTION AUTH
PA
01
—
19990649
NURSE CERTIFICATE
PA
01
—
RN279879L
RN LICENSE
PA
01
—
TP005743D
CRNP LICENSE
PA
Enumeration date
05/14/2007
Last updated
12/16/2014
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