Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Rayna Sophie Tarlow

Individual provider Gerontology Nurse Practitioner · NPI 1245991819

Rayna Sophie Tarlow is a Nurse Practitioner in Wynnewood, Pennsylvania. Qualified in 2021, 5 years ago. Practices with Main Line Healthcare, a 1,153-clinician group and accepts Medicare assignment. Licensed in Pennsylvania.

Years since qualifying
5
Licensed in
PA
In the registry since
2022
Specialties on file
2

Practice location Address checks out

306 E Lancaster Ave Ste 400
Wynnewood, PA 19096-2100
Phone: (484) 476-7222
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence SP024905 (PA)
Gerontology Nurse Practitioner Taxonomy 363LG0600X · Licence SP024905 (PA)

Record details

NPI number1245991819
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJanuary 6, 2022
Last updated in NPPESFebruary 18, 2025
Certification dateFebruary 18, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Main Line Healthcare — 1153 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Wynnewood