Provider Demographics
NPI:1093928756
Name:MEADOWS, RITA ELIZABETH JEAN (MSN, FNP-BC)
Entity Type:Individual
Prefix:
First Name:RITA
Middle Name:ELIZABETH JEAN
Last Name:MEADOWS
Suffix:
Gender:F
Credentials:MSN, FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14 SUMMERVILLE CT
Mailing Address - Street 2:
Mailing Address - City:OCEAN VIEW
Mailing Address - State:DE
Mailing Address - Zip Code:19970-3218
Mailing Address - Country:US
Mailing Address - Phone:302-519-8264
Mailing Address - Fax:
Practice Address - Street 1:20930 DUPONT BLVD
Practice Address - Street 2:SUITE 101
Practice Address - City:GEORGETOWN
Practice Address - State:DE
Practice Address - Zip Code:19947-1725
Practice Address - Country:US
Practice Address - Phone:302-856-3737
Practice Address - Fax:302-856-7337
Is Sole Proprietor?:No
Enumeration Date:2007-05-08
Last Update Date:2012-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DELG0000432363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
DE1053513127Medicaid
DEG60186Medicare UPIN