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Organization

UNIVERSITY OF DELAWARE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CAROLYN HAINES (DIRECTOR NURSE MANAGED PRIMARY CARE)
(302) 831-3195
Entity
Organization

Contact information

Practice address
540 S COLLEGE AVE STE 130, NEWARK, DE 19713-1302
(302) 831-3195
Mailing address
540 S COLLEGE AVE STE 130, NEWARK, DE 19713-1302

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary

Other

Enumeration date
02/02/2018
Last updated
02/02/2018
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