Healthcare Provider Details

I. General information

NPI: 1669874632
Provider Name (Legal Business Name): LORIANN WASHBURN AC-CRNP-FAMILY
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/22/2014
Last Update Date: 03/12/2026
Certification Date: 03/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

231 S WASHINGTON ST
MILLSBORO DE
19966-1236
US

IV. Provider business mailing address

PO BOX 7411009
CHICAGO IL
60674-3009
US

V. Phone/Fax

Practice location:
  • Phone: 609-585-1122
  • Fax: 609-585-0309
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberLG-0000989
License Number StateDE
# 2
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAC-CRNP-FAMILY
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: