Healthcare Provider Details

I. General information

NPI: 1003155623
Provider Name (Legal Business Name): GEETANJALI CHATTERJEE NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/01/2013
Last Update Date: 11/13/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1400 N WASHINGTON ST STE 300
WILMINGTON DE
19801-1024
US

IV. Provider business mailing address

1400 N WASHINGTON ST STE 300
WILMINGTON DE
19801-1024
US

V. Phone/Fax

Practice location:
  • Phone: 302-320-5700
  • Fax:
Mailing address:
  • Phone: 302-320-5700
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LC0200X
TaxonomyCritical Care Medicine Nurse Practitioner
License NumberLB-0000272
License Number StateDE
# 2
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberLB-0000272
License Number StateDE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: