Healthcare Provider Details

I. General information

NPI: 1487964425
Provider Name (Legal Business Name): TERESA LOUISE INSETTA M.S.R.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/08/2010
Last Update Date: 10/08/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2501 EBRIGHT ROAD CONCORD HIGH SCHOOL WELLNESS CENTER
WILMINGTON DE
19810-1198
US

IV. Provider business mailing address

4755 OGLETOWN-STANTON ROAD CHRISTIANA CARE HIGH SCHOOL WELLNESS CENTERS
NEWARK DE
19718
US

V. Phone/Fax

Practice location:
  • Phone: 302-477-3960
  • Fax:
Mailing address:
  • Phone: 302-477-3960
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License NumberDN-0000370
License Number StateDE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: