Provider Demographics
NPI:1437325263
Name:TAYLOR, SUSAN L (CRNP)
Entity type:Individual
Prefix:
First Name:SUSAN
Middle Name:L
Last Name:TAYLOR
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:29787 JOHN J WILLIAMS HIGHWAY, UNIT #8
Mailing Address - Street 2:
Mailing Address - City:MILLSBORO
Mailing Address - State:DE
Mailing Address - Zip Code:19966-1663
Mailing Address - Country:US
Mailing Address - Phone:800-818-8680
Mailing Address - Fax:866-229-0237
Practice Address - Street 1:29787 JOHN J WILLIAMS HIGHWAY, UNIT #8
Practice Address - Street 2:
Practice Address - City:MILLSBORO
Practice Address - State:DE
Practice Address - Zip Code:19966-1663
Practice Address - Country:US
Practice Address - Phone:800-818-8680
Practice Address - Fax:866-229-0237
Is Sole Proprietor?:No
Enumeration Date:2008-05-01
Last Update Date:2024-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR090382363LA2200X
DCRN1029416363LA2200X
DELP-0010803363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health