Mansur, Katie Jeanne

Mansur, Katie Jeanne is an individual health care provider with primary practice located at 1508 W 7Th St , Wilmington DE 19805-3110. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife, which is considered as her primary health care specialty. Mansur, Katie Jeanne can be contacted via phone (302) 658-2229.

Contact Information

Primary practice address
1508 W 7Th St Wilmington DE 19805-3110
Phone: (302) 658-2229
Fax: (302) 658-2382
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X MW010059L Pennsylvania
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X LK-0000143 Delaware

Profile Details

NPI number 1316907728
LBN Legal business name Mansur, Katie Jeanne
Credentials Certified Nurse Midwife (CNM)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 28th, 2006
Last updated May 16th, 2013 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1316907728 NPPES
Delaware Other LK-0000143 NURSE MIDWIFE LICENSE
Delaware Other MW010059L NURSE MIDWIFE LICENSE

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