Provider Demographics
NPI:1154542785
Name:MCDONALD, KAREN QUILLEN (NNP)
Entity type:Individual
Prefix:
First Name:KAREN
Middle Name:QUILLEN
Last Name:MCDONALD
Suffix:
Gender:F
Credentials:NNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:106 DRUMMOND DRIVE
Mailing Address - Street 2:
Mailing Address - City:WILMINGTON
Mailing Address - State:DE
Mailing Address - Zip Code:19808
Mailing Address - Country:US
Mailing Address - Phone:302-994-3665
Mailing Address - Fax:
Practice Address - Street 1:CHRISTIANA CARE HEALTH SYSTEMS
Practice Address - Street 2:4755 OGLETOWN STNATON ROAD ROOM 2990
Practice Address - City:NEWARK
Practice Address - State:DE
Practice Address - Zip Code:19719
Practice Address - Country:US
Practice Address - Phone:302-733-2400
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DELM-0000136363LN0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LN0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerNeonatal