Healthcare Provider Details

I. General information

NPI: 1265400303
Provider Name (Legal Business Name): DIONNE J DENDY ANP
Entity Type: Individual
Gender: Female
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 03/14/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4701 OGLETOWN STANTON RD SUITE 2200
NEWARK DE
19713-2055
US

IV. Provider business mailing address

4701 OGLETOWN STANTON RD SUITE 2200
NEWARK DE
19713-2055
US

V. Phone/Fax

Practice location:
  • Phone: 302-366-1200
  • Fax: 302-366-1700
Mailing address:
  • Phone: 302-366-1200
  • Fax: 302-366-1700

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License NumberLB0000184
License Number StateDE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: