Healthcare Provider Details
I. General information
NPI: 1376948000
Provider Name (Legal Business Name): ADRIENNE EMMA ABRENICA CRNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 10/23/2014
Last Update Date: 02/25/2024
Certification Date: 02/25/2024
Deactivation Date:
Reactivation Date:
III. Provider practice location address
365 AIRPORT RD
NEW CASTLE DE
19720-1007
US
IV. Provider business mailing address
365 AIRPORT RD
NEW CASTLE DE
19720-1007
US
V. Phone/Fax
- Phone: 302-320-9660
- Fax: 302-320-9665
- Phone: 302-320-9660
- Fax: 302-320-9665
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 163W00000X |
| Taxonomy | Registered Nurse |
| License Number | L1-0049201 |
| License Number State | DE |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 363L00000X |
| Taxonomy | Nurse Practitioner |
| License Number | SP014028 |
| License Number State | PA |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 363LF0000X |
| Taxonomy | Family Nurse Practitioner |
| License Number | LG-0011497 |
| License Number State | DE |
| # 4 | |
| Primary Taxonomy | N |
| Taxonomy Code | 363LG0600X |
| Taxonomy | Gerontology Nurse Practitioner |
| License Number | LP-0000172 |
| License Number State | DE |
| # 5 | |
| Primary Taxonomy | N |
| Taxonomy Code | 363LP0808X |
| Taxonomy | Psychiatric/Mental Health Nurse Practitioner |
| License Number | LP-0000172 |
| License Number State | DE |
| # 6 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 363LA2200X |
| Taxonomy | Adult Health Nurse Practitioner |
| License Number | LP-0000172 |
| License Number State | DE |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: