Provider Demographics
NPI:1861851602
Name:NJEI, EMELDA FRI (CRNP-PMH)
Entity Type:Individual
Prefix:
First Name:EMELDA
Middle Name:FRI
Last Name:NJEI
Suffix:
Gender:F
Credentials:CRNP-PMH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12 PENNINGTON ST STE 100
Mailing Address - Street 2:
Mailing Address - City:MIDDLETOWN
Mailing Address - State:DE
Mailing Address - Zip Code:19709-1026
Mailing Address - Country:US
Mailing Address - Phone:302-378-8028
Mailing Address - Fax:302-378-8026
Practice Address - Street 1:12 PENNINGTON ST STE 100
Practice Address - Street 2:
Practice Address - City:MIDDLETOWN
Practice Address - State:DE
Practice Address - Zip Code:19709-1026
Practice Address - Country:US
Practice Address - Phone:302-378-8028
Practice Address - Fax:302-378-8026
Is Sole Proprietor?:No
Enumeration Date:2016-02-22
Last Update Date:2023-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEL8-0000141363LP0808X
MDR193904363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health