Healthcare Provider Details

I. General information

NPI: 1386102200
Provider Name (Legal Business Name): KATHARINE ELIZABETH NARDO FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: KATHARINE BISHOP

II. Dates (important events)

Enumeration Date: 03/10/2019
Last Update Date: 08/23/2022
Certification Date: 08/23/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

18068 COASTAL HIGHWAY
LEWES DE
19958
US

IV. Provider business mailing address

424 SAVANNAH RD
LEWES DE
19958-1462
US

V. Phone/Fax

Practice location:
  • Phone: 302-567-1500
  • Fax:
Mailing address:
  • Phone: 302-645-3300
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WC0200X
TaxonomyCritical Care Medicine Registered Nurse
License NumberL1-0049850
License Number StateDE
# 2
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberLG-0011882
License Number StateDE
# 3
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberLG-0011882
License Number StateDE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: