IndividualActive
Braxton Childers, PA
NPI 1043791668 · Physician Assistant · Newark, DE
Provider details
- NPI number
- 1043791668
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
4102 Ogletown Stanton Rd Ste B
Newark, DE 19713-4183
Phone: (302) 731-2888
Fax: (302) 731-7049
Approximate (ZIP-level) locationGet directions
Mailing address
211 Executive Dr Ste 11
Newark, DE 19702-3358
Registry dates
- Enumerated
- 2018-08-22
- Last updated
- 2024-01-25
- Certified
- 2024-01-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.