Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Heather Marie Raybold, CRNP, CPNP-PC

Individual provider Pediatric Nurse Practitioner · NPI 1710803598

Heather Marie Raybold, CRNP, CPNP-PC is a Pediatric Nurse Practitioner in Philadelphia, Pennsylvania. Licensed in Pennsylvania. Registered with an NPI since 2026.

Licensed in
PA
In the registry since
2026
What do these letters mean?
CRNP — Certified Registered Nurse Practitioner
The title Pennsylvania and some other states use for a nurse practitioner.

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Practice location Address checks out

8556 Bustleton Ave
Philadelphia, PA 19152-1218
Phone: (215) 698-9200
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Nurse Practitioner (primary) Taxonomy 363LP0200X · Licence SP036319 (PA)

Record details

NPI number1710803598
Entity typeIndividual (Type 1)
GenderFemale
Credentials CRNP , CPNP-PC
Sole proprietorNo
NPI enumeratedJune 26, 2026
Last updated in NPPESJune 26, 2026
Certification dateJune 26, 2026

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