Healthcare Provider Details

I. General information

NPI: 1003725482
Provider Name (Legal Business Name): MINJIE LEE DALPHON APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MINJIE KIM LEE APRN

II. Dates (important events)

Enumeration Date: 09/02/2026
Last Update Date: 10/05/2026
Certification Date: 10/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

291 CARTER DR STE B
MIDDLETOWN DE
19709-5845
US

IV. Provider business mailing address

291 CARTER DR STE B
MIDDLETOWN DE
19709-5845
US

V. Phone/Fax

Practice location:
  • Phone: 844-365-2202
  • Fax: 844-558-1878
Mailing address:
  • Phone: 844-365-2202
  • Fax: 844-558-1878

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberLG-0014043
License Number StateDE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: