ELLEN KEMUNTO MOCHACHE SOIRE (NPI# 1780861427) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1780861427 |
Entity Type | Individual |
Full Name | ELLEN KEMUNTO MOCHACHE SOIRE |
Credential | N.P. |
Practice Address |
124 Sleepy Hollow Dr Ste 203 Middletown DE 19709-5838 |
Practice Telephone | 3024493030 |
Practice Fax Number | 3024493040 |
Mailing Telephone | 3024493030 |
Mailing Fax Number | 3024493040 |
Enumeration Date | 2008-01-24 |
Last Update Date | 2013-08-28 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
NP 17815 | CA | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
CA | NURSE PRACTITIONER LICENS | NP 17815 | 01 |
CA | REGISTERED NURSE LICENSE | RN 659134 | 01 |
Street Address |
124 SLEEPY HOLLOW DR STE 203 |
City | MIDDLETOWN |
State | DE |
Zip Code | 19709-5838 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1528617388 | Karen A Luzetsky | Registered Nurse | 124 Sleepy Hollow Dr Ste 203, Middletown, DE 19709-5838 | 2019-09-05 |
1578119632 | Adreane Owens | Physician Assistant | 124 Sleepy Hollow Dr Ste 203, Middletown, DE 19709-5838 | 2019-08-14 |
1639722036 | Susan P Gorschboth | Registered Nurse | 124 Sleepy Hollow Dr Ste 203, Middletown, DE 19709-5838 | 2019-07-24 |
1497219455 | Ashley Trotter | Nurse Practitioner | 124 Sleepy Hollow Dr Ste 203, Middletown, DE 19709-5838 | 2019-01-24 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1285249797 | Lucinda M Cadet | Social Worker | 600 N. Broad Street, Suite 5, #768, Middletown, DE 19709 | 2020-09-11 |
1447870118 | Adella Sangarie | Licensed Practical Nurse | 712 Wood Duck Ct, Middletown, DE 19709 | 2020-04-22 |
1336600535 | Nathan Lo | Student in an Organized Health Care Education/Training Program | 937 Whispering Trail, Middletown, DE 19709 | 2019-03-29 |
1629559554 | Acceptance Counseling, LLC | Social Worker | 115 N. Broad St, Ste 1, Middletown, DE 19709 | 2018-08-28 |
1356844492 | Eden Hill Expresscare, LLC | Clinic/Center | 749 Middletown Warwick Road, Middletown, DE 19709 | 2018-03-15 |
1740782135 | Angela L Robinson | Counselor | 5350 Summit Bridge Rd Ste 103, Middletown, DE 19709 | 2018-03-02 |
1417456492 | Metanoia Counseling, LLC | Clinic/Center | 101 West Park Place, Middletown, DE 19709 | 2018-02-06 |
1275031114 | Nicole Brody Gomes | Physical Therapist | 210 Cleaver Farms Rd, Ste 1, Middletown, DE 19709 | 2018-01-25 |
1972012383 | Raymond Robert Solinger | Physical Therapist | 210 Cleaver Farms Rd Ste 1, Middletown, DE 19709 | 2017-09-28 |
1811432008 | Leslie Nkansah | Pharmacist | 367 Ellenwood Drive, Middletown, DE 19709 | 2016-12-27 |
Find all providers in zip 19709 |
Taxonomy Code | 363LF0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Family |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1669072344 | Shante Brady | Nurse Practitioner | 37 Ruth Ct, Middletown, NY 10940-5329 | 2020-10-30 |
1932710126 | Miesha Sarah Stokely | Nurse Practitioner | 10 Atwood Dr, Middletown, NY 10940-2539 | 2020-08-12 |
1801413919 | Stacey Ward | Nurse Practitioner | 1055 Summit Dr., Middletown, OH 45042 | 2020-07-06 |
1316563869 | Alexa Rae Steenbruggen | Nurse Practitioner | 8 Gossets Turn Dr, Middletown, RI 02842-7900 | 2020-06-21 |
1942832472 | Courtney Killin | Nurse Practitioner | 506 Gladys Dr, Middletown, OH 45044-4825 | 2020-02-12 |
1174085575 | Adenike Yetunde Awotundun | Nurse Practitioner | 1020 N Union St Apt 204, Middletown, PA 17057-2158 | 2019-04-03 |
1447722095 | Cheryl Roman | Nurse Practitioner | 15 Southview W, Middletown, NJ 07748-2416 | 2018-12-20 |
1083191076 | Johnita Hendricks | Nurse Practitioner | 124 Sleepy Hollow Dr Ste 201, Middletown, DE 19709-5838 | 2018-07-23 |
1881146702 | Oluyemisi A Okudele | Nurse Practitioner | 11 Little Cir, Middletown, DE 19709-7956 | 2016-10-26 |
1629523816 | Lavinda Mcauliffe | Nurse Practitioner | 6730 Roosevelt Ave Ste 201, Middletown, OH 45005-5730 | 2016-08-17 |
Find all providers in MIDDLETOWN |
City | MIDDLETOWN |
Zip Code | 19709 |
Please comment or provide details below to improve the information on ELLEN KEMUNTO MOCHACHE SOIRE.
Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.