NPI 1003143330

Alicia Renee Edelblute, PAC

Practitioner Medical Physician Assistant Newark, DE

Practice location

Address: 4755 Ogletown Stanton Rd, Newark, DE 19718-2200
Phone: (610) 406-7662
Mailing address: 4299 Riders Ln, Upper Chichester, PA 19061-2644

Registered specialties

Medical Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363AM0700X Licence DE C5 0000687 (DE)

Other Physician Assistant providers in Delaware →

Registry record

NPI: 1003143330
Entity type: Individual
Sex (as registered): Female
NPI issued: 6 Nov 2009
Record last updated: 17 Apr 2013

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.