Provider Demographics
NPI:1881885390
Name:NIXON, LORETTA (RN)
Entity type:Individual
Prefix:MS
First Name:LORETTA
Middle Name:
Last Name:NIXON
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2005 BAYNARD BLVD
Mailing Address - Street 2:
Mailing Address - City:WILMINGTON
Mailing Address - State:DE
Mailing Address - Zip Code:19802-3917
Mailing Address - Country:US
Mailing Address - Phone:302-658-5177
Mailing Address - Fax:302-658-5170
Practice Address - Street 1:2005 BAYNARD BLVD
Practice Address - Street 2:
Practice Address - City:WILMINGTON
Practice Address - State:DE
Practice Address - Zip Code:19802-3917
Practice Address - Country:US
Practice Address - Phone:302-658-5177
Practice Address - Fax:302-658-5170
Is Sole Proprietor?:No
Enumeration Date:2007-08-08
Last Update Date:2007-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEL10030155163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse