Healthcare Provider Details

I. General information

NPI: 1194498014
Provider Name (Legal Business Name): RACHAEL OFILI NP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/27/2021
Last Update Date: 06/21/2023
Certification Date: 06/21/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2600 GLASGOW AVE STE 124
NEWARK DE
19702-4777
US

IV. Provider business mailing address

405 SILVERSIDE RD STE 111
WILMINGTON DE
19809-1768
US

V. Phone/Fax

Practice location:
  • Phone: 302-836-4200
  • Fax:
Mailing address:
  • Phone: 302-798-2559
  • Fax: 302-798-2401

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LP2300X
TaxonomyPrimary Care Nurse Practitioner
License NumberL1-0048030
License Number StateDE
# 2
Primary TaxonomyY
Taxonomy Code363LP2300X
TaxonomyPrimary Care Nurse Practitioner
License NumberLP-0010451
License Number StateDE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: