Individual
MARYRUTH L. NICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
86 OMEGA DR, OMEGA PROFESSIONAL CENTER, BUILDING B-86, NEWARK, DE 19713-2065
(302) 623-1929
(302) 366-1075
Mailing address
200 HYGEIA DR, CCHS PHYSICIAN CONTRACTING, SUITE 2300, NEWARK, DE 19713-2049
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
L1-0033156
DE
363LF0000X
Family Nurse Practitioner
Primary
LG-0000912
DE
Other
Enumeration date
01/18/2016
Last updated
11/08/2016
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