Healthcare Provider Details

I. General information

NPI: 1306485883
Provider Name (Legal Business Name): EMILY KARIUKI RN, BSN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/31/2019
Last Update Date: 09/30/2021
Certification Date: 09/30/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

915 N MADISON ST
WILMINGTON DE
19801-1439
US

IV. Provider business mailing address

1224 N KING ST
WILMINGTON DE
19801-3232
US

V. Phone/Fax

Practice location:
  • Phone: 302-803-5354
  • Fax: 302-803-6679
Mailing address:
  • Phone: 302-803-5354
  • Fax: 302-803-6679

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WG0000X
TaxonomyGeneral Practice Registered Nurse
License NumberRN682083
License Number StatePA
# 2
Primary TaxonomyY
Taxonomy Code163WH0200X
TaxonomyHome Health Registered Nurse
License NumberL1-0049383
License Number StateDE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: