Individual
LAYLA KIDANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4755 OGLETOWN STANTON ROAD, SUITE 5A43, NEWARK, DE 19718-2200
(302) 623-0188
(302) 733-5640
Mailing address
3232 OAK VISTA WAY, LAWRENCEVILLE, GA 30044-6724
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN212851
GA
363L00000X
Nurse Practitioner
LP-0010530
DE
363LA2200X
Adult Health Nurse Practitioner
Primary
LP-0010530
DE
363LA2200X
Adult Health Nurse Practitioner
RN212851
GA
363LG0600X
Gerontology Nurse Practitioner
LP-0010530
DE
Other
Enumeration date
04/23/2013
Last updated
09/30/2024
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