NPI 1164569588 · live from the CMS NPI Registry
Martha Coppage-Lawrence, CPNP
Nurse Practitioner, Pediatrics in Newark, DE. National Provider Identifier 1164569588, active.
NPI record
| NPI | 1164569588 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Nurse Practitioner, Pediatrics 363LP0200X |
| Practice location | 2575 Glasgow Ave, Newark, DE 19702 |
| Practice phone | 302-832-5400 |
| Mailing address | 4 Dillon Dr, New Castle, DE 19720 |
| Enumerated | February 1, 2007 |
| Last updated | July 8, 2007 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner, Pediatrics primary | 363LP0200X | LJ-0000159 (DE) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.