Provider Demographics
NPI:1801228374
Name:CAROLINA, MARKIA (APRN)
Entity type:Individual
Prefix:MRS
First Name:MARKIA
Middle Name:
Last Name:CAROLINA
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:MARKIA
Other - Middle Name:P
Other - Last Name:BENNETT
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:FNP-C
Mailing Address - Street 1:640 S. STATE STREET
Mailing Address - Street 2:MAIL CODE 3055
Mailing Address - City:DOVER
Mailing Address - State:DE
Mailing Address - Zip Code:19901-3530
Mailing Address - Country:US
Mailing Address - Phone:302-480-1688
Mailing Address - Fax:302-480-9807
Practice Address - Street 1:401 N CARTER RD STE 201
Practice Address - Street 2:
Practice Address - City:SMYRNA
Practice Address - State:DE
Practice Address - Zip Code:19977-1281
Practice Address - Country:US
Practice Address - Phone:302-514-3371
Practice Address - Fax:302-653-3876
Is Sole Proprietor?:No
Enumeration Date:2013-08-06
Last Update Date:2020-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DELG-0001277363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner