Healthcare Provider Details

I. General information

NPI: 1225626625
Provider Name (Legal Business Name): ESTHER OTENG DNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/02/2021
Last Update Date: 04/30/2021
Certification Date: 04/30/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

282 THE GRN
NEWARK DE
19716-0009
US

IV. Provider business mailing address

12 HUNTING RIDGE RD
NEWARK DE
19702-3716
US

V. Phone/Fax

Practice location:
  • Phone: 302-831-2226
  • Fax:
Mailing address:
  • Phone: 302-898-8389
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberLG-0011525
License Number StateDE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: