Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LN0000X | Nurse Practitioner - Neonatal | LM-0010179 | DE |
NPI | 1093307696 |
---|---|
Provider Name | Emma Killion |
First Address | Newark, DE 19713-2074 |
Second Address | Newark, DE 19713-2074 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/02/2021 |
Last Update Date | 08/03/2021 |