Doctor Name: | MELODY L HENRIQUEZ |
NPI Number: | 1053544973 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RN |
License Number: | L1-0037863 |
Business Practice Address: | 1101 Delaware St New Castle, DE - 197206033 |
Business Phone Number: | 3023248901 |
Business Fax Number: | 3023766796 |
Mailing Address: | 1101 Delaware St, NEW CASTLE |
State: | DE |
Postal Code: | 197206033 |
Phone Number: | 3023248901 |
Fax Number: | 3023766796 |
NPI Enumeration Date: | 08/26/2009 |
NPI Last Update Date: | 08/26/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WS0200X |
License Number: | L1-0037863 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | DE |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | School |
Taxonomy Definition: |