Healthcare Provider Details

I. General information

NPI: 1497889323
Provider Name (Legal Business Name): MARIA R ASH CRNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/15/2007
Last Update Date: 02/06/2025
Certification Date: 02/06/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

99 PASSMORE RD
WILMINGTON DE
19803-1548
US

IV. Provider business mailing address

99 PASSMORE RD
WILMINGTON DE
19803-1548
US

V. Phone/Fax

Practice location:
  • Phone: 302-478-9411
  • Fax:
Mailing address:
  • Phone: 302-478-9411
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LG0600X
TaxonomyGerontology Nurse Practitioner
License NumberLD-0000146
License Number StateDE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: