Healthcare Provider Details

I. General information

NPI: 1609816388
Provider Name (Legal Business Name): CATHERINE G EARNEST WHPN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/08/2006
Last Update Date: 02/13/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4735 OGLETOWN STANTON RD MAP 2, SUITE 1208
NEWARK DE
19713-2072
US

IV. Provider business mailing address

200 HYGEIA DRIVE SUITE 2502
NEWARK DE
19713-2049
US

V. Phone/Fax

Practice location:
  • Phone: 302-623-4055
  • Fax: 302-623-4056
Mailing address:
  • Phone: 302-623-7200
  • Fax: 302-421-4777

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LX0001X
TaxonomyObstetrics & Gynecology Nurse Practitioner
License NumberLH-0000144
License Number StateDE
# 2
Primary TaxonomyY
Taxonomy Code363LW0102X
TaxonomyWomen's Health Nurse Practitioner
License NumberLH-0000144
License Number StateDE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: