Individual
MS. MARGARET R. MICCOLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
A.I. DUPONT HOSPITAL FOR CHILDREN, 1600 ROCKLAND ROAD, WILMINGTON, DE 19803-3607
(302) 651-4000
(302) 651-4945
Mailing address
PO BOX 191, PROVIDER ENROLLMENT DEPT, ROCKLAND, DE 19732-0191
(302) 651-6212
(302) 651-4945
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
LJ0000224
DE
363LP0200X
Pediatric Nurse Practitioner
LJ0000224
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0050873
—
NJ
05
—
4066103
—
MD
Enumeration date
02/26/2007
Last updated
09/24/2011
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