Healthcare Provider Details

I. General information

NPI: 1831000256
Provider Name (Legal Business Name): THERESA JEAN ORNDORF
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/15/2026
Last Update Date: 09/15/2026
Certification Date: 09/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1021 N WALNUT ST
MILFORD DE
19963-1201
US

IV. Provider business mailing address

19590 DRUMMOND DR
MILFORD DE
19963-4288
US

V. Phone/Fax

Practice location:
  • Phone: 302-430-7911
  • Fax:
Mailing address:
  • Phone: 302-430-7911
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WS0200X
TaxonomySchool Registered Nurse
License NumberL1-0075518
License Number StateDE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: