Healthcare Provider Details

I. General information

NPI: 1790602712
Provider Name (Legal Business Name): CAITLYN SUCHANIC FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/01/2026
Last Update Date: 07/01/2026
Certification Date: 07/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

124 SLEEPY HOLLOW DR STE 204
MIDDLETOWN DE
19709-5838
US

IV. Provider business mailing address

222 SAFFRON CIR
MIDDLETOWN DE
19709-8781
US

V. Phone/Fax

Practice location:
  • Phone: 302-741-4025
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberLG-0013943
License Number StateDE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: