Mary Ellen Frances Abendroth, CRNP
Individual provider Active NPI Adult Health Nurse Practitioner · Lewes, DE
NPI 1497848352 · NPPES record last updated Mar 13, 2014
Key facts
- NPI
- 1497848352
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Adult Health Nurse Practitioner 363LA2200X
- License
- LH0000167 (DE)
- Practice address
- 431 Savannah Rd
Lewes, DE 19958-1460 - Phone
- (302) 644-9080
- Fax
- (302) 644-9088
- NPI assigned
- Oct 2, 2006
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LH0000167 | DE | MD | Adult Health Nurse Practitioner |
| LH0030839 | DE | MD | Adult Health Nurse Practitioner |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | LH0030839 | DE | |
| Adult Health Nurse Practitioner | 363LA2200X | LH0000167 | DE | Yes |
Addresses
Primary practice location
431 Savannah Rd
Lewes, DE 19958-1460
Mailing address
431 Savannah Rd
Lewes, DE 19958-1460
Phone (302) 644-9080
Other providers in Lewes, DE
- 302 Chiropractic
- Linda Abbott
- Mary Abercrombie
- Lorie Vic Agbayani Acacio-Nolasco
- Donna L Adams
- Kathleen Adams
- Renee Adams
All providers in Lewes, DE · Adult Health Nurse Practitioner in Delaware
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 13, 2014. 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.