Most Relevant Information
Provider Data
| NPI Number: | 1003204082 |
| Provider Name: | DEREK ECKENRODE |
| Entity Type: | Individual |
| Taxonomy Code: | 163W00000X |
| Specialty: | Registered Nurse |
| License Number: | R180751 |
Most Important Dates
| Enumeration Date: | 12/29/2014 |
| Last Updated: | 12/29/2014 |
Provider Practice Location
424 SAVANNAH RD
LEWES
DE
199581462
Practice Location Phone/Fax
| Phone: | 3026453300 |
| Fax: |
Provider Mailing Location
129 ELIZABETH WAY
SOUTH BETHANY
DE
199309667
Provider Mailing Phone/Fax
| Phone: | 4439567031 |
| Fax: |