Healthcare Provider Details

I. General information

NPI: 1164368098
Provider Name (Legal Business Name): TALIA ELIZABETH SPITELLE
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/24/2026
Last Update Date: 04/24/2026
Certification Date: 04/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 DISCOVERY BLVD
NEWARK DE
19713-1325
US

IV. Provider business mailing address

540 S COLLEGE AVE
NEWARK DE
19713-1302
US

V. Phone/Fax

Practice location:
  • Phone: 302-831-1165
  • Fax:
Mailing address:
  • Phone: 302-831-1165
  • Fax: 302-309-9163

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174H00000X
TaxonomyHealth Educator
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: