Provider Demographics
NPI:1164559233
Name:MARSTON-NELSON, JANETTE ARLENE (MD)
Entity Type:Individual
Prefix:DR
First Name:JANETTE
Middle Name:ARLENE
Last Name:MARSTON-NELSON
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:JANETTE
Other - Middle Name:ARLENE
Other - Last Name:NELSON
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:CHRISTIANA HOSP 4755 OGLETOWN-STANTON RD
Mailing Address - Street 2:C/O ACADEMIC AFFAIRS, SUITE 2A00; P.O BOX 6001
Mailing Address - City:NEWARK
Mailing Address - State:DE
Mailing Address - Zip Code:19718-0001
Mailing Address - Country:US
Mailing Address - Phone:302-733-4200
Mailing Address - Fax:
Practice Address - Street 1:CHRISTIANA HOSP 4755 OGLETOWN-STANTON RD
Practice Address - Street 2:C/O ACADEMIC AFFAIRS, SUITE 2A00;
Practice Address - City:NEWARK
Practice Address - State:DE
Practice Address - Zip Code:19718-0001
Practice Address - Country:US
Practice Address - Phone:302-733-4200
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-02-27
Last Update Date:2007-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEC-1-0007066174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
DE1000027191Medicaid
DE1000027191Medicaid