Provider Demographics
NPI:1952564734
Name:NUKUNA, ADELINE N (MD)
Entity type:Individual
Prefix:
First Name:ADELINE
Middle Name:N
Last Name:NUKUNA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19405 PLANTATION RD UNIT 2
Mailing Address - Street 2:
Mailing Address - City:REHOBOTH BEACH
Mailing Address - State:DE
Mailing Address - Zip Code:19971-4488
Mailing Address - Country:US
Mailing Address - Phone:302-480-1919
Mailing Address - Fax:
Practice Address - Street 1:19405 PLANTATION RD UNIT 2
Practice Address - Street 2:
Practice Address - City:REHOBOTH BEACH
Practice Address - State:DE
Practice Address - Zip Code:19971-4488
Practice Address - Country:US
Practice Address - Phone:302-480-1919
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-07-02
Last Update Date:2024-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEC1-0009130207VG0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecology