Healthcare Provider Details

I. General information

NPI: 1902626641
Provider Name (Legal Business Name): RACHEL ROBINSON STUDENT NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/16/2024
Last Update Date: 07/30/2026
Certification Date: 07/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

25161 PIONEER RD
MILFORD DE
19963-4666
US

IV. Provider business mailing address

25161 PIONEER RD
MILFORD DE
19963-4666
US

V. Phone/Fax

Practice location:
  • Phone: 302-531-7753
  • Fax:
Mailing address:
  • Phone: 302-531-7753
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberLG-0014012
License Number StateDE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: