Healthcare Provider Details

I. General information

NPI: 1669672556
Provider Name (Legal Business Name): AYASHA Z. MCGHEE RN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/19/2007
Last Update Date: 07/19/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13 DEMARET CT
MIDDLETOWN DE
19709-9354
US

IV. Provider business mailing address

13 DEMARET COURT
MIDDLETOWN DE
19709
US

V. Phone/Fax

Practice location:
  • Phone: 302-373-1795
  • Fax:
Mailing address:
  • Phone: 302-373-1795
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WC0200X
TaxonomyCritical Care Medicine Registered Nurse
License Number
License Number StateDE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: