Provider Demographics
NPI:1811047418
Name:STERN, REBECCA S (CRNP, MSN)
Entity type:Individual
Prefix:MS
First Name:REBECCA
Middle Name:S
Last Name:STERN
Suffix:
Gender:F
Credentials:CRNP, MSN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3803 W CHESTER PIKE STE 160
Mailing Address - Street 2:
Mailing Address - City:NEWTOWN SQUARE
Mailing Address - State:PA
Mailing Address - Zip Code:19073-2336
Mailing Address - Country:US
Mailing Address - Phone:484-377-1667
Mailing Address - Fax:
Practice Address - Street 1:100 LANCASTER AVENUE
Practice Address - Street 2:DEPARTMENT OF OB-GYN STE 301 LANKENAU HOSPITAL
Practice Address - City:WYNNEWOOD
Practice Address - State:PA
Practice Address - Zip Code:19096
Practice Address - Country:US
Practice Address - Phone:610-645-6462
Practice Address - Fax:610-645-2026
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-12
Last Update Date:2023-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAVP001694G363LW0102X, 363LP1700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health
Not Answered363LP1700XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPerinatal