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Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Pediatrics

Provider NPI: 1902346554

Provider Information:
Gender: F
Not Sole Proprietor

Practice Location:
Tel: 302-651-4200  Fax: --

Business Mailing Address:
P.O. BOX 191  ROCKLAND, DE 19723-0191 US
Tel: (30-2) -651-4000  Fax: 302-651-4945

NPI Information:
NPI: 1902346554
Entity Type: Individual


PrimaryCodeCategory/DescriptionStateLicense Number
Y363LP0200XPhysician Assistants & Advanced Practice Nursing Providers
Nurse Practitioner

Other Provider Identifiers:


American Medical Association 2012 taxonomy code information

Code: 363LP0200X





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