Healthcare Provider Details

I. General information

NPI: 1952990459
Provider Name (Legal Business Name): RACHEL VICTORIA PIANE CRNA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/11/2021
Last Update Date: 06/30/2026
Certification Date: 06/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4923 OGLETOWN STANTON RD
NEWARK DE
19713-2081
US

IV. Provider business mailing address

828 PARKSIDE BLVD
CLAYMONT DE
19703-1020
US

V. Phone/Fax

Practice location:
  • Phone: 302-613-0436
  • Fax:
Mailing address:
  • Phone: 302-893-8278
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code367H00000X
TaxonomyAnesthesiologist Assistant
License NumberL6-0A10843
License Number StateDE
# 2
Primary TaxonomyY
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License NumberL6-OA10843
License Number StateDE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: