Provider Demographics
NPI:1043621543
Name:NACRELLI, AIMEE (NP)
Entity Type:Individual
Prefix:
First Name:AIMEE
Middle Name:
Last Name:NACRELLI
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 1:222 CARTER DR
Mailing Address - Street 2:STE 101
Mailing Address - City:MIDDLETOWN
Mailing Address - State:DE
Mailing Address - Zip Code:19709-5856
Mailing Address - Country:US
Mailing Address - Phone:302-378-5494
Mailing Address - Fax:302-378-1760
Practice Address - Street 1:222 CARTER DR
Practice Address - Street 2:STE 101
Practice Address - City:MIDDLETOWN
Practice Address - State:DE
Practice Address - Zip Code:19709-5856
Practice Address - Country:US
Practice Address - Phone:302-378-5494
Practice Address - Fax:302-378-1760
Is Sole Proprietor?:No
Enumeration Date:2014-05-19
Last Update Date:2019-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR188506363L00000X
DELG-0000749363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner