Provider Demographics
NPI:1609219286
Name:FENTON-KOWRACH, ANNMARIE (NP-C)
Entity Type:Individual
Prefix:MS
First Name:ANNMARIE
Middle Name:
Last Name:FENTON-KOWRACH
Suffix:
Gender:F
Credentials:NP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:283 N DUPONT HWY
Mailing Address - Street 2:
Mailing Address - City:DOVER
Mailing Address - State:DE
Mailing Address - Zip Code:19901-7532
Mailing Address - Country:US
Mailing Address - Phone:302-857-3860
Mailing Address - Fax:302-857-3861
Practice Address - Street 1:283 N DUPONT HWY
Practice Address - Street 2:
Practice Address - City:DOVER
Practice Address - State:DE
Practice Address - Zip Code:19901-7532
Practice Address - Country:US
Practice Address - Phone:302-857-3860
Practice Address - Fax:302-857-3861
Is Sole Proprietor?:Yes
Enumeration Date:2013-04-12
Last Update Date:2014-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DELG-0000656282N00000X, 364SF0001X, 364SX0106X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital
No364SF0001XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistFamily Health
No364SX0106XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistOccupational Health