Individual
IRENE M TATA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
501 W 14TH ST, WILMINGTON, DE 19801-1013
(302) 733-1000
Mailing address
501 W 14TH ST, WILMINGTON, DE 19801-1038
(302) 733-1000
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
L1-0053975
DE
363L00000X
Nurse Practitioner
Primary
LP-0010679
DE
374U00000X
Home Health Aide
—
—
Other
Enumeration date
06/06/2012
Last updated
12/11/2023
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