Alicia Renee Edelblute, PA-C
Physician Assistant, Medical in Newark, DE. Individual provider (NPI-1).
NPI number1003143330
StatusActive
Last updated in NPPESApr 17, 2013
Details
- NPI
- 1003143330
- Entity type
- Individual (NPI-1)
- Name
- Alicia Renee Edelblute
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Nov 6, 2009
- Last updated
- Apr 17, 2013
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363AM0700X | Physician Assistant, Medical | DE c5 0000687 | DE | Yes |
Practice location
4755 Ogletown Stanton RdNewark, DE 19718-2200
Phone 610-406-7662
Mailing address
4299 Riders LnUpper Chichester, PA 19061-2644
Phone 610-406-7662
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All 56 Medical Physician Assistant providers in Newark · All 5,778 providers in Newark
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