Healthcare Provider Details

I. General information

NPI: 1861477390
Provider Name (Legal Business Name): JANET G. DUTCHER NNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: JANET G. SKOOG

II. Dates (important events)

Enumeration Date: 12/07/2005
Last Update Date: 06/03/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4755 OGLETOWN - STANTON ROAD ROOM 2990
NEWARK DE
19718
US

IV. Provider business mailing address

200 HYGEIA DRIVE SUITE 2300
NEWARK DE
19713
US

V. Phone/Fax

Practice location:
  • Phone: 302-733-2400
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LN0000X
TaxonomyNeonatal Nurse Practitioner
License NumberR1597156
License Number StateMN
# 2
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberLM-0000118
License Number StateDE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: