Healthcare Provider Details

I. General information

NPI: 1326719923
Provider Name (Legal Business Name): LINDSEY MCGRAW RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/23/2021
Last Update Date: 09/23/2021
Certification Date: 08/31/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

801 W 18TH ST
WILMINGTON DE
19802-3852
US

IV. Provider business mailing address

1502 SPUCE AVENUE
WILMINGTON DE
19805-3852
US

V. Phone/Fax

Practice location:
  • Phone: 302-651-2744
  • Fax:
Mailing address:
  • Phone: 302-651-2744
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WS0200X
TaxonomySchool Registered Nurse
License Number261QH0100X
License Number StateDE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: