Healthcare Provider Details

I. General information

NPI: 1780484782
Provider Name (Legal Business Name): CHRISTIANA CARE PENNSYLVANIA INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/18/2025
Last Update Date: 03/18/2025
Certification Date: 03/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

161 WILMINGTON W CHESTER PIKE
CHADDS FORD PA
19317-9041
US

IV. Provider business mailing address

4000 NEXUS DR STE E3
WILMINGTON DE
19803-3000
US

V. Phone/Fax

Practice location:
  • Phone: 302-623-3017
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084N0400X
TaxonomyNeurology Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: ROBERT W MCMURRAY
Title or Position: CFO
Credential: JR
Phone: 302-623-7362