Provider Demographics
NPI:1295966588
Name:DECHANT, LAURA (APRN)
Entity type:Individual
Prefix:DR
First Name:LAURA
Middle Name:
Last Name:DECHANT
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4755 OGLTOWN STANTON ROAD
Mailing Address - Street 2:OFFICE 2579
Mailing Address - City:NEWARK
Mailing Address - State:DE
Mailing Address - Zip Code:19718-1549
Mailing Address - Country:US
Mailing Address - Phone:302-733-2710
Mailing Address - Fax:
Practice Address - Street 1:4755 OGLETOWN STANTON RD
Practice Address - Street 2:OFFICE 2E90H
Practice Address - City:NEWARK
Practice Address - State:DE
Practice Address - Zip Code:19718-0001
Practice Address - Country:US
Practice Address - Phone:302-733-2710
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-08-04
Last Update Date:2020-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DELL-0000103364SA2100X, 364SC0200X
DEL1-0024650163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes364SA2100XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistAcute Care
No163W00000XNursing Service ProvidersRegistered Nurse
No364SC0200XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistCritical Care Medicine