Individual provider · Type 1 NPI

Rebecca Graham, CRNP

Pediatric Nurse Practitioner · Philadelphia, PA

NPI number 1447747811 Active

Practice location

3401 Civic Center Blvd
Philadelphia, PA 19104-4319

Mailing address

1569 Silver Lake Rd
Langhorne, PA 19047-8001

Other practice locations

  • 104 Pheasant Run, Newtown, PA 18940-3439 · (215) 968-6944

Specialties and licenses

TaxonomyCodeLicense
Pediatric Nurse Practitioner 363LP0200XSP018824 (PA)
Pediatric Nurse Practitioner Primary 363LP0200XSP018727 (PA)

Pediatric Nurse Practitioner: Definition to come...

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About NPI 1447747811

Rebecca Graham, CRNP's National Provider Identifier is 1447747811, issued on Apr 20, 2018. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Philadelphia, PA. The record was last updated on Nov 14, 2019.