Healthcare Provider Details

I. General information

NPI: 1477898625
Provider Name (Legal Business Name): STEPHANIE DUMPSON RN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/29/2012
Last Update Date: 11/29/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

448 STELLA DR
HOCKESSIN DE
19707-1901
US

IV. Provider business mailing address

448 STELLA DR
HOCKESSIN DE
19707-1901
US

V. Phone/Fax

Practice location:
  • Phone: 302-765-8093
  • Fax:
Mailing address:
  • Phone: 302-765-8093
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WA2000X
TaxonomyAdministrator Registered Nurse
License NumberL1-0032857
License Number StateDE
# 2
Primary TaxonomyN
Taxonomy Code163WD1100X
TaxonomyPeritoneal Dialysis Registered Nurse
License NumberL1-0032857
License Number StateDE
# 3
Primary TaxonomyY
Taxonomy Code163WH0200X
TaxonomyHome Health Registered Nurse
License NumberL1-0032857
License Number StateDE
# 4
Primary TaxonomyN
Taxonomy Code163WH0500X
TaxonomyHemodialysis Registered Nurse
License NumberL1-0032857
License Number StateDE
# 5
Primary TaxonomyN
Taxonomy Code163WI0500X
TaxonomyInfusion Therapy Registered Nurse
License NumberL1-0032857
License Number StateDE
# 6
Primary TaxonomyN
Taxonomy Code163WM0705X
TaxonomyMedical-Surgical Registered Nurse
License NumberL1-0032857
License Number StateDE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: