Individual
PAULINE OMANYA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
660 BAYLOR BLVD, NEW CASTLE, DE 19720-1140
(302) 577-3004
Mailing address
6 CHILMARK CT, BEAR, DE 19701-3815
(302) 983-6875
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
LG-0000744
DE
363LF0000X
Family Nurse Practitioner
Primary
LG-0000744
DE
Other
Enumeration date
08/02/2014
Last updated
08/23/2024
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