Provider Demographics
NPI:1518320621
Name:REXER, PATRICIA (CRNP)
Entity type:Individual
Prefix:
First Name:PATRICIA
Middle Name:
Last Name:REXER
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 1:205 N BROAD ST STE 300
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19107-1553
Mailing Address - Country:US
Mailing Address - Phone:215-569-1111
Mailing Address - Fax:215-569-8797
Practice Address - Street 1:205 N BROAD ST STE 300
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19107-1553
Practice Address - Country:US
Practice Address - Phone:215-569-1111
Practice Address - Fax:215-569-8797
Is Sole Proprietor?:Yes
Enumeration Date:2016-04-05
Last Update Date:2025-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASP015808363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily