Patricia Licausi
Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Frederica, DE
NPI 1477910099 · NPPES record last updated Jan 27, 2016
Key facts
- NPI
- 1477910099
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Student in an Organized Health Care Education/Training Program 390200000X
- Practice address
- 3148 Main Street
Frederica, DE 19946 - Phone
- (302) 724-9113
- NPI assigned
- Jan 27, 2016
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Yes |
Addresses
Primary practice location
3148 Main Street
Frederica, DE 19946
Mailing address
3148 Main St.
Frederica, DE 19946
Phone (302) 538-4183
Other providers in Frederica, DE
- Emmanuel Felix
- Frederica Volunteer Fire Company
- Patricia Ann Groff
- Thlisha Bonville Hollingsworth
- Michelle Marie Johnston
- Marie Michelle McGrellis
- Open Minds Therapy
- Pamela Shockley, LLC
- Caitlin Pepper
- Quality Recruit Consultants, LLC
All providers in Frederica, DE · Student in an Organized Health Care Education/Training Program in Delaware
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 27, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.