Healthcare Provider Details
I. General information
NPI: 1437390135
Provider Name (Legal Business Name): LINDA M MARSIGLIA NNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 03/10/2009
Last Update Date: 03/10/2009
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
4755 OGLETOWN STANTON RD
NEWARK DE
19718-0001
US
IV. Provider business mailing address
8 ALDERLEAF DR
LEWES DE
19958-9462
US
V. Phone/Fax
- Phone: 302-733-2400
- Fax:
- Phone: 302-947-9976
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 363LN0000X |
| Taxonomy | Neonatal Nurse Practitioner |
| License Number | LM0000141 |
| License Number State | DE |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: