Healthcare Provider Details

I. General information

NPI: 1912003369
Provider Name (Legal Business Name): MARILYN ALEXANDER BARNES F.N.P.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/15/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1095 S BRADFORD ST
DOVER DE
19904-4141
US

IV. Provider business mailing address

26 WYOMING AVE
DOVER DE
19904-6922
US

V. Phone/Fax

Practice location:
  • Phone: 302-678-2000
  • Fax: 302-346-0181
Mailing address:
  • Phone: 302-678-3652
  • Fax: 302-678-0545

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberLG-0000231
License Number StateDE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: