Healthcare Provider Details

I. General information

NPI: 1396559431
Provider Name (Legal Business Name): MRS. MAEGAN LYNN SANDERS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/06/2025
Last Update Date: 02/06/2025
Certification Date: 02/06/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

260 CHAPMAN RD STE 104A
NEWARK DE
19702-5410
US

IV. Provider business mailing address

45 CHESWOLD BLVD APT 1C
NEWARK DE
19713-4151
US

V. Phone/Fax

Practice location:
  • Phone: 302-273-3194
  • Fax:
Mailing address:
  • Phone: 609-638-9065
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: