Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363L00000X | Nurse Practitioner | LB-0000272 | DE |
N | 363LC0200X | Nurse Practitioner - Critical Care Medicine | LB-0000272 | DE |
NPI | 1003155623 |
---|---|
Provider Name | Geetanjali Chatterjee |
First Address | Wilmington, DE 19801-1024 |
Second Address | Wilmington, DE 19801-1024 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/02/2013 |
Last Update Date | 13/11/2018 |