Healthcare Provider Details

I. General information

NPI: 1386166346
Provider Name (Legal Business Name): PAIGE ELAN HANNA CRNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/12/2017
Last Update Date: 03/17/2026
Certification Date: 03/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

30265 COMMERCE DR UNIT 208
MILLSBORO DE
19966-3728
US

IV. Provider business mailing address

28312 LEWES GEORGETOWN HWY STE 6
MILTON DE
19968-3115
US

V. Phone/Fax

Practice location:
  • Phone: 302-663-0119
  • Fax: 302-663-0120
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberR227921
License Number StateMD
# 2
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberLG-0011743
License Number StateDE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: