Provider Demographics
NPI:1548291438
Name:HENRY, NADINE SHINGLER (NP)
Entity type:Individual
Prefix:MRS
First Name:NADINE
Middle Name:SHINGLER
Last Name:HENRY
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2844 JACKSON DITCH RD
Mailing Address - Street 2:
Mailing Address - City:HARRINGTON
Mailing Address - State:DE
Mailing Address - Zip Code:19952-2455
Mailing Address - Country:US
Mailing Address - Phone:302-398-0678
Mailing Address - Fax:302-398-3020
Practice Address - Street 1:11 N CHURCH AVE # 13
Practice Address - Street 2:
Practice Address - City:MILFORD
Practice Address - State:DE
Practice Address - Zip Code:19963-1020
Practice Address - Country:US
Practice Address - Phone:302-424-7140
Practice Address - Fax:302-424-2957
Is Sole Proprietor?:No
Enumeration Date:2006-07-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DELH0000152363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health