Mary Therese Nairn, CRNP

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

LG-0000128 Issued in DE

Practice address

1601 Kirkwood Hwy
Womens Health Clinic
Wilmington, DE 19805-4917

Phone

(302) 994-2511

Fax

(302) 633-5339

NPI assigned

Aug 9, 2006

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1155081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1104836576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 WRANGLER RD",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197113709",
            "telephone_number": "302-738-4985",
            "fax_number": "302-633-5339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 KIRKWOOD HWY",
            "address_2": "WOMENS HEALTH CLINIC",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198054917",
            "telephone_number": "302-994-2511",
            "fax_number": "302-633-5339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAIRN",
        "first_name": "MARY",
        "middle_name": "THERESE",
        "name_prefix": "Mrs.",
        "credential": "CRNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "DE",
            "license": "LG-0000128",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PRESCRIPTIVE#RXAPN",
            "identifier": "3029",
            "state": "DE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nadiv Shapira, MD PA
• Deepika Nagabhushan, DO
• Nickolas J Nahm, MD
• Sayna Nahvi, M.D.
• Jyoti Nair, DO
• Susan Ntege Nakaweesa
• Kimberly Owens Nalda, MD
• Namory Medical Services LLC
• Sophie Marie Namugenyi, LCSW
• Nanjo Group LLC

• Adult Health Nurse Practitioner in Wilmington, DE
• Providers in Wilmington, DE by specialty
• Adult Health Nurse Practitioner in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.