Provider Demographics
NPI:1992140800
Name:GAINES, DAVID LEMONTE (NP)
Entity type:Individual
Prefix:
First Name:DAVID
Middle Name:LEMONTE
Last Name:GAINES
Suffix:
Gender:M
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1340 MIDDLEFORD ROAD
Mailing Address - Street 2:
Mailing Address - City:SEAFORD
Mailing Address - State:DE
Mailing Address - Zip Code:19973-3665
Mailing Address - Country:US
Mailing Address - Phone:008-188-6808
Mailing Address - Fax:866-229-0237
Practice Address - Street 1:100 DOVER ST
Practice Address - Street 2:
Practice Address - City:NEW CASTLE
Practice Address - State:DE
Practice Address - Zip Code:19720-1307
Practice Address - Country:US
Practice Address - Phone:302-656-1390
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-05-06
Last Update Date:2025-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEL8-0010404363LP0808X
DELG0000678363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health