Provider Demographics
NPI:1861519191
Name:PONCE DE LEON, ERLINDA A (CNA)
Entity type:Individual
Prefix:MRS
First Name:ERLINDA
Middle Name:A
Last Name:PONCE DE LEON
Suffix:
Gender:F
Credentials:CNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2913 DUNCAN RD
Mailing Address - Street 2:HYDE PARK
Mailing Address - City:WILMINGTON
Mailing Address - State:DE
Mailing Address - Zip Code:19808-2318
Mailing Address - Country:US
Mailing Address - Phone:302-998-9870
Mailing Address - Fax:
Practice Address - Street 1:5700 KIRKWOOD HWY
Practice Address - Street 2:SUITE 203
Practice Address - City:WILMINGTON
Practice Address - State:DE
Practice Address - Zip Code:19808-4857
Practice Address - Country:US
Practice Address - Phone:302-998-0469
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DENA000000702951376K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376K00000XNursing Service Related ProvidersNurse's Aide