Individual
ANITA MENGARPUAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
424 SAVANNAH RD, LEWES, DE 19958-1462
(302) 645-3300
Mailing address
112 SUMMER DR, SMYRNA, DE 19977-4104
(302) 668-8080
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
L1-0037957
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
L1-0037957
RN LICENSURE
DE
Enumeration date
02/07/2017
Last updated
02/07/2017
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