Healthcare Provider Details

I. General information

NPI: 1164254306
Provider Name (Legal Business Name): THE NEMOURS FOUNDATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/16/2024
Last Update Date: 08/16/2024
Certification Date: 08/16/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

600 E 7TH ST
WILMINGTON DE
19801-4425
US

IV. Provider business mailing address

600 E 7TH ST
WILMINGTON DE
19801-4425
US

V. Phone/Fax

Practice location:
  • Phone: 302-429-4083
  • Fax:
Mailing address:
  • Phone: 302-429-4083
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number
License Number State

VIII. Authorized Official

Name: RODNEY AARON MCKENDREE
Title or Position: EXECUTIVE VP, CF AND BS OFFICER
Credential:
Phone: 904-697-5648