Healthcare Provider Details

I. General information

NPI: 1437325263
Provider Name (Legal Business Name): SUSAN L TAYLOR CRNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/01/2008
Last Update Date: 03/26/2026
Certification Date: 03/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

29787 JOHN J WILLIAMS HIGHWAY, UNIT #8
MILLSBORO DE
19966-1663
US

IV. Provider business mailing address

29787 JOHN J WILLIAMS HIGHWAY, UNIT #8
MILLSBORO DE
19966-1663
US

V. Phone/Fax

Practice location:
  • Phone: 800-818-8680
  • Fax: 866-229-0237
Mailing address:
  • Phone: 800-818-8680
  • Fax: 866-229-0237

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License NumberR090382
License Number StateMD
# 2
Primary TaxonomyN
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License NumberRN1029416
License Number StateDC
# 3
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberLP-0010803
License Number StateDE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: