Provider Demographics
NPI:1871718510
Name:CHRISTIANA CARE
Entity type:Organization
Organization Name:CHRISTIANA CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:NEONATAL NURSE PRACTITIONER
Authorized Official - Prefix:
Authorized Official - First Name:PAULETTE
Authorized Official - Middle Name:
Authorized Official - Last Name:HAWS
Authorized Official - Suffix:
Authorized Official - Credentials:MSN, RNC
Authorized Official - Phone:302-733-4387
Mailing Address - Street 1:22 MINQUIL DR
Mailing Address - Street 2:
Mailing Address - City:NEWARK
Mailing Address - State:DE
Mailing Address - Zip Code:19713-1312
Mailing Address - Country:US
Mailing Address - Phone:302-456-9197
Mailing Address - Fax:
Practice Address - Street 1:22 MINQUIL DR
Practice Address - Street 2:
Practice Address - City:NEWARK
Practice Address - State:DE
Practice Address - Zip Code:19713-1312
Practice Address - Country:US
Practice Address - Phone:302-456-9197
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-16
Last Update Date:2008-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DELM-0000114363LN0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LN0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerNeonatalGroup - Single Specialty