Basic Information
Provider Information
NPI: 1801429931
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: KARCHER
FirstName: MARY
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: FNP
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 4735 OGLETOWN STANTON RD STE 3301
Address2:  
City: NEWARK
State: DE
PostalCode: 197137021
CountryCode: US
TelephoneNumber: 3026234370
FaxNumber: 3026234375
Practice Location
Address1: 4735 OGLETOWN STANTON RD STE 3301
Address2:  
City: NEWARK
State: DE
PostalCode: 197137021
CountryCode: US
TelephoneNumber: 3026234370
FaxNumber: 3026234375
Other Information
ProviderEnumerationDate: 02/18/2020
LastUpdateDate: 02/18/2020
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 02/18/2020

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
163W00000XL1-0043606DEN Nursing Service ProvidersRegistered Nurse 
363LF0000XLG-0001390DEY Physician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily

No ID Information.


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