Healthcare Provider Details

I. General information

NPI: 1710288725
Provider Name (Legal Business Name): CORINNE DAUT RN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: CORINNE DEASCANIS RN

II. Dates (important events)

Enumeration Date: 11/07/2010
Last Update Date: 05/21/2025
Certification Date: 05/21/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

209 GOLDING CT
HOCKESSIN DE
19707-1356
US

IV. Provider business mailing address

209 GOLDING CT
HOCKESSIN DE
19707-1356
US

V. Phone/Fax

Practice location:
  • Phone: 302-824-5934
  • Fax:
Mailing address:
  • Phone: 302-824-5934
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WL0100X
TaxonomyLactation Consultant (Registered Nurse)
License NumberL1-0041738
License Number StateDE
# 2
Primary TaxonomyY
Taxonomy Code363LP2300X
TaxonomyPrimary Care Nurse Practitioner
License NumberLG-0013177
License Number StateDE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: