Healthcare Provider Details

I. General information

NPI: 1902998784
Provider Name (Legal Business Name): NATALIE T KASPER APN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/29/2006
Last Update Date: 05/22/2022
Certification Date: 05/22/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

27 LANDERS LN
NEW CASTLE DE
19720-2022
US

IV. Provider business mailing address

27 LANDERS LN
NEW CASTLE DE
19720-2022
US

V. Phone/Fax

Practice location:
  • Phone: 302-429-4083
  • Fax:
Mailing address:
  • Phone: 302-429-4083
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0200X
TaxonomyPediatric Nurse Practitioner
License NumberL10027146
License Number StateDE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: