Individual
DELAYNE GODWIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1414 PHYSICIANS DR, WILMINGTON, NC 28401-7335
(910) 796-7900
Mailing address
1414 PHYSICIANS DR, WILMINGTON, NC 28401-7335
(910) 796-7900
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
145232
NC
363L00000X
Nurse Practitioner
201467
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1881614089
—
NC
05
—
7006080
—
NC
01
—
P00109000
RAILROAD MEDICARE
NC
05
—
QNP258
—
SC
Enumeration date
07/20/2006
Last updated
09/12/2014
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