Healthcare Provider Details

I. General information

NPI: 1639007420
Provider Name (Legal Business Name): SUSSEX NP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/12/2026
Last Update Date: 05/12/2026
Certification Date: 05/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

21209 SHELL STATION RD
FRANKFORD DE
19945-2457
US

IV. Provider business mailing address

21209 SHELL STATION RD
FRANKFORD DE
19945-2457
US

V. Phone/Fax

Practice location:
  • Phone: 302-381-9329
  • Fax: 302-406-1892
Mailing address:
  • Phone: 302-381-9329
  • Fax: 302-406-1892

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP2300X
TaxonomyPrimary Care Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: CASSANDRA A BROSNAHAN
Title or Position: OWNER
Credential:
Phone: 302-381-9329