Basic Information
| Provider Information | |||||||||
| NPI: | 1306009618 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | STRAUBEL | ||||||||
| FirstName: | REBECCA | ||||||||
| MiddleName: | MULRY | ||||||||
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| Credential: | CRNP | ||||||||
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| Mailing Information | |||||||||
| Address1: | 2729 BLAIR MILL RD | ||||||||
| Address2: | NORTHWOOD BLDG SUITE C | ||||||||
| City: | WILLOW GROVE | ||||||||
| State: | PA | ||||||||
| PostalCode: | 190901042 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2154430660 | ||||||||
| FaxNumber: | 2154438422 | ||||||||
| Practice Location | |||||||||
| Address1: | 2701 BLAIR MILL RD | ||||||||
| Address2: | NORTHWOOD BLDG SUITE C | ||||||||
| City: | WILLOW GROVE | ||||||||
| State: | PA | ||||||||
| PostalCode: | 190901041 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2154430660 | ||||||||
| FaxNumber: | 2154438422 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 07/07/2008 | ||||||||
| LastUpdateDate: | 04/09/2018 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 363LX0001X | SP002311G | PA | Y | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Obstetrics & Gynecology |
No ID Information.