Basic Information
| Provider Information | |||||||||
| NPI: | 1093307696 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | KILLION | ||||||||
| FirstName: | EMMA | ||||||||
| MiddleName: | |||||||||
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| Credential: | NNP | ||||||||
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| Mailing Information | |||||||||
| Address1: | 4745 OGLETOWN STANTON RD STE 217 | ||||||||
| Address2: | |||||||||
| City: | NEWARK | ||||||||
| State: | DE | ||||||||
| PostalCode: | 197132074 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3027332410 | ||||||||
| FaxNumber: | 3027332602 | ||||||||
| Practice Location | |||||||||
| Address1: | 4745 OGLETOWN STANTON RD STE 217 | ||||||||
| Address2: | |||||||||
| City: | NEWARK | ||||||||
| State: | DE | ||||||||
| PostalCode: | 197132074 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3027332410 | ||||||||
| FaxNumber: | 3027332602 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 02/05/2021 | ||||||||
| LastUpdateDate: | 03/08/2021 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 03/08/2021 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 163W00000X | L1-0054031 | DE | N | Nursing Service Providers | Registered Nurse | 363LN0000X | LM-0010179 | DE | Y | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Neonatal |
No ID Information.