Provider Demographics
NPI:1174764062
Name:DREW, MICHELLE L (DNP, MPH, CNM, FNP-C)
Entity type:Individual
Prefix:DR
First Name:MICHELLE
Middle Name:L
Last Name:DREW
Suffix:
Gender:F
Credentials:DNP, MPH, CNM, FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:101 W NEWTOWN PL STE 2300
Mailing Address - Street 2:
Mailing Address - City:NEWARK
Mailing Address - State:DE
Mailing Address - Zip Code:19702-2975
Mailing Address - Country:US
Mailing Address - Phone:615-830-7722
Mailing Address - Fax:
Practice Address - Street 1:4755 OGLETOWN STANTON RD
Practice Address - Street 2:DEPT. OF OB/GYN, SUITE 1900
Practice Address - City:NEWARK
Practice Address - State:DE
Practice Address - Zip Code:19718-2200
Practice Address - Country:US
Practice Address - Phone:302-733-1386
Practice Address - Fax:302-733-3340
Is Sole Proprietor?:No
Enumeration Date:2009-03-23
Last Update Date:2023-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEL1-0027933163W00000X
DELK-0000175367A00000X, 367A00000X
DELG-0011725363LF0000X
TX779143367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife
No163W00000XNursing Service ProvidersRegistered Nurse
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily