Vanessa Peffall, FNP-C, CRNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

SP026121 Issued in PA

Practice address

1615 Limekiln Pike Ste 2
Dresher, PA 19025-1053

Phone

(215) 718-2035

Fax

(215) 718-2033

NPI assigned

Aug 22, 2022

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1661126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727222400000",
    "number": "1407574767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3265 COUNTY LINE RD",
            "city": "CHALFONT",
            "state": "PA",
            "postal_code": "189143712",
            "telephone_number": "215-996-9839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1615 LIMEKILN PIKE STE 2",
            "city": "DRESHER",
            "state": "PA",
            "postal_code": "190251053",
            "telephone_number": "215-718-2035",
            "fax_number": "215-718-2033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEFFALL",
        "first_name": "VANESSA",
        "credential": "FNP-C, CRNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-08-22",
        "last_updated": "2024-09-25",
        "certification_date": "2024-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP026121",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Family Nurse Practitioner in Dresher, PA
• Providers in Dresher, PA by specialty
• Family Nurse Practitioner in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.