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Individual

ELLEN KEMUNTO MOCHACHE SOIRE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
N.P.

Contact information

Practice address
540 S COLLEGE AVE STE 130, NEWARK, DE 19713-1302
(302) 831-3000
(302) 831-3193
Mailing address
540 S COLLEGE AVE STE 130, NEWARK, DE 19713-1302
(302) 831-3000
(302) 831-3193

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
NP 17815
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200111073
DE
05
250810172
DE
01
L1-0036849
RN
DE
01
LG-0000477
FNP
DE
01
NP 17815
NURSE PRACTITIONER LICENS
CA
01
RN 659134
REGISTERED NURSE LICENSE
CA
Enumeration date
01/24/2008
Last updated
04/28/2026
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