Individual
GINA WAITHE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
2600 GLASGOW AVE STE 100, NEWARK, DE 19702-5703
(302) 273-1317
(302) 273-1581
Mailing address
200 HYGEIA DR, NEWARK, DE 19713-2049
(302) 273-1701
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
L1-0041231
DE
163W00000X
Registered Nurse
RN747622
MD
363L00000X
Nurse Practitioner
LG-0012446
DE
363LF0000X
Family Nurse Practitioner
AC006179
MD
363LF0000X
Family Nurse Practitioner
Primary
LG-0012446
DE
Other
Enumeration date
08/10/2023
Last updated
08/27/2024
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