Healthcare Provider Details

I. General information

NPI: 1649186719
Provider Name (Legal Business Name): GIANI LESHAY DUPREE RN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/20/2026
Last Update Date: 08/20/2026
Certification Date: 08/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

403 CHARRING CROSS DR
DOVER DE
19904-9789
US

IV. Provider business mailing address

403 CHARRING CROSS DR
DOVER DE
19904-9789
US

V. Phone/Fax

Practice location:
  • Phone: 267-632-4557
  • Fax:
Mailing address:
  • Phone: 267-632-4557
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WC0200X
TaxonomyCritical Care Medicine Registered Nurse
License NumberL1-0077047
License Number StateDE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: