Provider Demographics
NPI:1316691306
Name:ALDRICH, AUDREY MARIE (RN)
Entity type:Individual
Prefix:MRS
First Name:AUDREY
Middle Name:MARIE
Last Name:ALDRICH
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 1:3 EAST ST
Mailing Address - Street 2:
Mailing Address - City:HARRINGTON
Mailing Address - State:DE
Mailing Address - Zip Code:19952-1320
Mailing Address - Country:US
Mailing Address - Phone:302-577-0906
Mailing Address - Fax:
Practice Address - Street 1:1114 S DUPONT HWY
Practice Address - Street 2:
Practice Address - City:DOVER
Practice Address - State:DE
Practice Address - Zip Code:19901-4401
Practice Address - Country:US
Practice Address - Phone:302-672-9360
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-02-08
Last Update Date:2022-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEL1-0042902163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse