Healthcare Provider Details

I. General information

NPI: 1780075598
Provider Name (Legal Business Name): CELIA MARIE SHEARMAN RN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/16/2015
Last Update Date: 02/16/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

33283 WEST EDGEMOOR STREET
LEWES DE
19958
US

IV. Provider business mailing address

33283 W EDGEMOOR ST
LEWES DE
19958-7243
US

V. Phone/Fax

Practice location:
  • Phone: 302-645-3300
  • Fax:
Mailing address:
  • Phone: 302-645-1189
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberL1-0018243
License Number StateDE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: