Layla Kidane
Nurse Practitioner, Adult Health in Newark, DE. Individual provider (NPI-1).
NPI number1124462007
StatusActive
Last updated in NPPESSep 30, 2024
Details
- NPI
- 1124462007
- Entity type
- Individual (NPI-1)
- Name
- Layla Kidane
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 23, 2013
- Certification date
- Sep 30, 2024
- Last updated
- Sep 30, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LA2200X | Nurse Practitioner, Adult Health | LP-0010530 | DE | Yes |
| 363L00000X | Nurse Practitioner | LP-0010530 | DE | |
| 363LA2200X | Nurse Practitioner, Adult Health | RN212851 | GA | |
| 363LG0600X | Nurse Practitioner, Gerontology | LP-0010530 | DE | |
| 163W00000X | Registered Nurse | RN212851 | GA |
Practice location
4755 Ogletown Stanton RoadSuite 5a43
Newark, DE 19718-2200
Phone 302-623-0188 · Fax 302-733-5640
Mailing address
3232 Oak Vista WayLawrenceville, GA 30044-6724
Other practice locations
3950 Austell Rd
Austell, GA 30106-1121
Austell, GA 30106-1121
Phone 770-732-4022
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All 40 Adult Health Nurse Practitioner providers in Newark · All 5,778 providers in Newark
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