Healthcare Provider Details
I. General information
NPI: 1477330066
Provider Name (Legal Business Name): PRESCRIBING IN MIND
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 09/08/2023
Last Update Date: 10/05/2026
Certification Date: 10/05/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
15953 PICKERING DR
MILTON DE
19968-3665
US
IV. Provider business mailing address
15953 PICKERING DR
MILTON DE
19968-3665
US
V. Phone/Fax
- Phone: 302-542-2054
- Fax:
- Phone: 302-213-3722
- Fax: 919-887-0711
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 363L00000X |
| Taxonomy | Nurse Practitioner |
| License Number | |
| License Number State | NULL |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 363LP0808X |
| Taxonomy | Psychiatric/Mental Health Nurse Practitioner |
| License Number | |
| License Number State | NULL |
VIII. Authorized Official
Name:
KELLY
PALEKAR
Title or Position: OWNER/PROVIDER
Credential:
Phone: 302-213-3722