Provider Demographics
NPI:1073339586
Name:MESILUS, CHIQUITA (RN)
Entity type:Individual
Prefix:
First Name:CHIQUITA
Middle Name:
Last Name:MESILUS
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:265 HARDROCK DR
Mailing Address - Street 2:
Mailing Address - City:SMYRNA
Mailing Address - State:DE
Mailing Address - Zip Code:19977-6832
Mailing Address - Country:US
Mailing Address - Phone:302-382-8736
Mailing Address - Fax:
Practice Address - Street 1:265 HARDROCK DR
Practice Address - Street 2:
Practice Address - City:SMYRNA
Practice Address - State:DE
Practice Address - Zip Code:19977-6832
Practice Address - Country:US
Practice Address - Phone:302-382-8736
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-11-30
Last Update Date:2024-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEL1-0052377163WC0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC0400XNursing Service ProvidersRegistered NurseCase Management