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Deserae Ann Mace-runyon
Licensed Practical Nurse in Newark, Delaware
NPI 1205589223

Deserae Ann Mace-runyon is a Licensed Practical Nurse based in Claymont, DE. Deserae Ann Mace-runyon practices in Newark, DE. The NPI Number for Deserae Ann Mace-runyon is 1205589223 and holds a License No. L2-0012605 (Delaware).

The current practice location address for Deserae Ann Mace-runyon is 3106 Drummond Plz Bldg 3, Newark, DE and can be reached out via phone at 833-886-2277.

Location: 3106 Drummond Plz Bldg 3, Newark, DE, 19703-2308
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1205589223
Provider Name
Deserae Ann Mace-runyon
Credential
Provider Entity Type
Individual
Gender
Female
Address
3106 Drummond Plz Bldg 3, Newark, DE, 19703-2308
Phone Number
833-886-2277
Fax Number
Provider Enumeration Date
01/31/2022
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
L2-0012605 05 DE
institution
Provider Business Practice Location Address Details
Address
3106 Drummond Plz Bldg 3
City
Newark
State
Delaware
Zip
19711-5745
Phone Number
833-886-2277
Fax Number
person
Provider Business Mailing Address Details
Address
3106 Drummond Plz Bldg 3
City
Newark
State
Delaware
Zip
19711-5745
Phone Number
833-886-2277
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Practical Nurse
Speciality
-
Taxonomy
164W00000X
License No.
L2-0012605 (Delaware)
Definition
An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
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