Provider Demographics
NPI:1003155623
Name:CHATTERJEE, GEETANJALI (NP)
Entity Type:Individual
Prefix:
First Name:GEETANJALI
Middle Name:
Last Name:CHATTERJEE
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1400 N WASHINGTON ST STE 300
Mailing Address - Street 2:
Mailing Address - City:WILMINGTON
Mailing Address - State:DE
Mailing Address - Zip Code:19801-1024
Mailing Address - Country:US
Mailing Address - Phone:302-320-5700
Mailing Address - Fax:
Practice Address - Street 1:1400 N WASHINGTON ST STE 300
Practice Address - Street 2:
Practice Address - City:WILMINGTON
Practice Address - State:DE
Practice Address - Zip Code:19801-1024
Practice Address - Country:US
Practice Address - Phone:302-320-5700
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-02-01
Last Update Date:2018-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DELB-0000272363LC0200X, 363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LC0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerCritical Care Medicine