Provider Demographics
NPI:1821869603
Name:YUN, GEONHAE (RN)
Entity Type:Individual
Prefix:MRS
First Name:GEONHAE
Middle Name:
Last Name:YUN
Suffix:
Gender:F
Credentials:RN
Other - Prefix:MRS
Other - First Name:GEONHAE
Other - Middle Name:
Other - Last Name:YUN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:CONNIE, RN
Mailing Address - Street 1:60 RAPHAEL RD
Mailing Address - Street 2:
Mailing Address - City:HOCKESSIN
Mailing Address - State:DE
Mailing Address - Zip Code:19707-2211
Mailing Address - Country:US
Mailing Address - Phone:302-981-2815
Mailing Address - Fax:302-323-2921
Practice Address - Street 1:502 MOORES LN
Practice Address - Street 2:
Practice Address - City:NEW CASTLE
Practice Address - State:DE
Practice Address - Zip Code:19720-3469
Practice Address - Country:US
Practice Address - Phone:302-323-2916
Practice Address - Fax:302-323-2921
Is Sole Proprietor?:Yes
Enumeration Date:2024-01-11
Last Update Date:2024-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEL1-0046992163WS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WS0200XNursing Service ProvidersRegistered NurseSchool