Provider Demographics
NPI:1306385018
Name:AUL, REBECCA (CRNP)
Entity type:Individual
Prefix:MRS
First Name:REBECCA
Middle Name:
Last Name:AUL
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:685 DELAWARE AVE
Mailing Address - Street 2:
Mailing Address - City:FOUNTAIN HILL
Mailing Address - State:PA
Mailing Address - Zip Code:18015-1165
Mailing Address - Country:US
Mailing Address - Phone:484-526-3890
Mailing Address - Fax:888-829-9836
Practice Address - Street 1:685 DELAWARE AVE
Practice Address - Street 2:
Practice Address - City:FOUNTAIN HILL
Practice Address - State:PA
Practice Address - Zip Code:18015-1165
Practice Address - Country:US
Practice Address - Phone:845-263-8904
Practice Address - Fax:888-829-9836
Is Sole Proprietor?:No
Enumeration Date:2017-02-14
Last Update Date:2025-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASP017202363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner