Healthcare Provider Details

I. General information

NPI: 1750166476
Provider Name (Legal Business Name): MEREDITH MALONE EDD, MSN, RN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/30/2023
Last Update Date: 08/30/2023
Certification Date: 08/30/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

607 MCCRACKEN DR
MIDDLETOWN DE
19709-3315
US

IV. Provider business mailing address

10 LANDERS LN
NEW CASTLE DE
19720-2023
US

V. Phone/Fax

Practice location:
  • Phone: 302-559-4936
  • Fax:
Mailing address:
  • Phone: 302-429-4085
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WS0200X
TaxonomySchool Registered Nurse
License NumberL1-0027049
License Number StateDE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: