Individual provider · Type 1 NPI

Lela Diane Tannenbaum, CRNP

Nurse Practitioner · Bryn Mawr, PA

NPI number 1376185355 Active

Practice location

919 Conestoga Rd Ste 300
Bryn Mawr, PA 19010-1352

Fax (610) 525-3664

Specialties and licenses

Taxonomy	Code	License
Nurse Practitioner Primary	363L00000X	SP020782 (PA)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1376185355

Lela Diane Tannenbaum, CRNP's National Provider Identifier is 1376185355, issued on Oct 11, 2019. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Bryn Mawr, PA. The record was last updated on Oct 11, 2019.