Provider Demographics
NPI:1457894602
Name:REHL, LINDSEY ELLEN (DNP, CRNP, RN,FNP-BC)
Entity Type:Individual
Prefix:DR
First Name:LINDSEY
Middle Name:ELLEN
Last Name:REHL
Suffix:
Gender:F
Credentials:DNP, CRNP, RN,FNP-BC
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Mailing Address - Street 1:PO BOX 746722
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30374-6722
Mailing Address - Country:US
Mailing Address - Phone:312-733-9730
Mailing Address - Fax:773-866-8014
Practice Address - Street 1:5050 PARKSIDE AVE
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19131-4751
Practice Address - Country:US
Practice Address - Phone:215-444-7469
Practice Address - Fax:815-768-2340
Is Sole Proprietor?:No
Enumeration Date:2016-11-21
Last Update Date:2020-09-10
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
PARN589062163W00000X
PASP016696363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse