Healthcare Provider Details

I. General information

NPI: 1538433479
Provider Name (Legal Business Name): MARI E. WELCH APN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MARI PANCIROLI

II. Dates (important events)

Enumeration Date: 02/23/2012
Last Update Date: 09/29/2025
Certification Date: 09/29/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1600 ROCKLAND RD
WILMINGTON DE
19803-3607
US

IV. Provider business mailing address

640 S STATE ST
DOVER DE
19901-3530
US

V. Phone/Fax

Practice location:
  • Phone: 302-651-4200
  • Fax: 302-651-5365
Mailing address:
  • Phone: 302-674-4700
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0200X
TaxonomyPediatric Nurse Practitioner
License NumberLJ0000273
License Number StateDE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: