Healthcare Provider Details

I. General information

NPI: 1609564681
Provider Name (Legal Business Name): THE NEMOURS FOUNDATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/27/2023
Last Update Date: 04/27/2023
Certification Date: 04/18/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

903 DELAWARE ST
HISTORIC NEW CASTLE DE
19720-6029
US

IV. Provider business mailing address

903 DELAWARE ST
HISTORIC NEW CASTLE DE
19720-6029
US

V. Phone/Fax

Practice location:
  • Phone: 302-429-4083
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number
License Number State

VIII. Authorized Official

Name: RODNEY AARON MCKENDREE
Title or Position: EXECUTIVE VP, CFO BUSINESS SERV
Credential:
Phone: 904-697-5648