Healthcare Provider Details

I. General information

NPI: 1902244411
Provider Name (Legal Business Name): MONICA MALDONADO NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MONICA TAYLOR

II. Dates (important events)

Enumeration Date: 06/06/2013
Last Update Date: 12/06/2024
Certification Date: 12/06/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

601 NEW CASTLE AVE
WILMINGTON DE
19801-5821
US

IV. Provider business mailing address

601 NEW CASTLE AVE
WILMINGTON DE
19801-5821
US

V. Phone/Fax

Practice location:
  • Phone: 302-655-6187
  • Fax:
Mailing address:
  • Phone: 302-655-6187
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LW0102X
TaxonomyWomen's Health Nurse Practitioner
License NumberR231216
License Number StateMD
# 2
Primary TaxonomyY
Taxonomy Code363LW0102X
TaxonomyWomen's Health Nurse Practitioner
License NumberLH-0000237
License Number StateDE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: