Healthcare Provider Details

I. General information

NPI: 1619371176
Provider Name (Legal Business Name): KRISTIN DAVID MCCALL PMHNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/13/2014
Last Update Date: 05/14/2026
Certification Date: 05/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4420 LIMESTONE RD STE 307
WILMINGTON DE
19808-2035
US

IV. Provider business mailing address

4420 LIMESTONE RD STE 307
WILMINGTON DE
19808-2035
US

V. Phone/Fax

Practice location:
  • Phone: 302-224-1400
  • Fax: 302-224-1402
Mailing address:
  • Phone: 302-224-1400
  • Fax: 302-224-1402

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberL8-0000129
License Number StateDE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: