Provider Demographics
NPI:1477035756
Name:LAUGHLIN, REBEKAH JANE (CRNP, FNP-C, FNP-BC)
Entity type:Individual
Prefix:
First Name:REBEKAH
Middle Name:JANE
Last Name:LAUGHLIN
Suffix:
Gender:F
Credentials:CRNP, FNP-C, FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:350 PENN ST
Mailing Address - Street 2:
Mailing Address - City:LANSDALE
Mailing Address - State:PA
Mailing Address - Zip Code:19446-2807
Mailing Address - Country:US
Mailing Address - Phone:267-817-7275
Mailing Address - Fax:833-972-5728
Practice Address - Street 1:350 PENN ST
Practice Address - Street 2:
Practice Address - City:LANSDALE
Practice Address - State:PA
Practice Address - Zip Code:19446-2807
Practice Address - Country:US
Practice Address - Phone:267-817-7275
Practice Address - Fax:833-972-5728
Is Sole Proprietor?:No
Enumeration Date:2018-09-03
Last Update Date:2025-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA554077163WS0200X
PA55407163W00000X, 163WG0000X, 163WH0200X
PASP023574363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163WS0200XNursing Service ProvidersRegistered NurseSchool
No163W00000XNursing Service ProvidersRegistered Nurse
No163WG0000XNursing Service ProvidersRegistered NurseGeneral Practice
No163WH0200XNursing Service ProvidersRegistered NurseHome Health