Basic Information
| Provider Information | |||||||||
| NPI: | 1821345018 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | MELLINGER | ||||||||
| FirstName: | WINIFRED | ||||||||
| MiddleName: | S. O. | ||||||||
| NamePrefix: | MRS. | ||||||||
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| Credential: | APRN, MSN, CPNP | ||||||||
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| Mailing Information | |||||||||
| Address1: | 525 SOUTH ST | ||||||||
| Address2: | |||||||||
| City: | NEW CASTLE | ||||||||
| State: | DE | ||||||||
| PostalCode: | 197205023 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3025441564 | ||||||||
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| Practice Location | |||||||||
| Address1: | 122 SILVER LAKE ROAD | ||||||||
| Address2: | MIDDLETOWN SCHOOL BASED HEALTH CENTER | ||||||||
| City: | MIDDLETOWN | ||||||||
| State: | DE | ||||||||
| PostalCode: | 19709 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3023785775 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 08/07/2012 | ||||||||
| LastUpdateDate: | 08/07/2012 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 363LP0200X | LJ0000108 | DE | Y | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Pediatrics |
No ID Information.