Individual
REBECCA STEWART PRIBLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BSN, RN, CRNP
Contact information
Practice address
5445 LANARK RD STE 103, CENTER VALLEY, PA 18034-8694
(484) 526-7035
Mailing address
3141 CHESTNUT ST, PHILADELPHIA, PA 19104-2875
(215) 895-2000
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
SP028873
PA
363LG0600X
Gerontology Nurse Practitioner
SP028873
PA
363LP2300X
Primary Care Nurse Practitioner
Primary
SP028873
PA
Other
Enumeration date
12/15/2023
Last updated
01/29/2024
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