Healthcare Provider Details

I. General information

NPI: 1558401596
Provider Name (Legal Business Name): DENISE A KAERCHER MS, FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/07/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

THE WELLNESS CENTER AT DOVER HIGH SCHOOL 1 PAT LYNN DRIVE
DOVER DE
19904
US

IV. Provider business mailing address

563 CINDY LN
SMYRNA DE
19977-1621
US

V. Phone/Fax

Practice location:
  • Phone: 302-672-1586
  • Fax: 302-674-2065
Mailing address:
  • Phone: 302-653-6075
  • Fax: 302-674-2065

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberLG-0000190
License Number StateDE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: