=====================================================
General NPI Number Information
=====================================================
NPI Number | 1992107932
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | LINDIE ELAINE GARRETT NP
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 09/22/2014
-----------------------------------------------------
Last Update Date | 11/17/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 705 NORTH ST
-----------------------------------------------------
City | MILFORD
-----------------------------------------------------
State | DE
-----------------------------------------------------
Zip | 19963-2707
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 302-725-3550
-----------------------------------------------------
Fax | 302-725-3552
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 640 S STATE ST # MC3055
-----------------------------------------------------
City | DOVER
-----------------------------------------------------
State | DE
-----------------------------------------------------
Zip | 19901-3530
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 302-725-3550
-----------------------------------------------------
Fax | 302-725-3552
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 363L00000X
-----------------------------------------------------
Taxonomy Name | Nurse Practitioner
-----------------------------------------------------
License Number | LJ-0000293
-----------------------------------------------------
License Number State | DE
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 363LP0200X
-----------------------------------------------------
Taxonomy Name | Pediatric Nurse Practitioner
-----------------------------------------------------
License Number | LJ-0000293
-----------------------------------------------------
License Number State | DE
-----------------------------------------------------