Healthcare Provider Details

I. General information

NPI: 1427739002
Provider Name (Legal Business Name): MARTHA ANDERSON APRN-CNP, PMHNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/27/2023
Last Update Date: 12/19/2025
Certification Date: 12/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

24077 COUNTRY LIVING RD STE 2
MILLSBORO DE
19966-3188
US

IV. Provider business mailing address

24077 COUNTRY LIVING RD STE 2
MILLSBORO DE
19966-3188
US

V. Phone/Fax

Practice location:
  • Phone: 302-224-1400
  • Fax: 302-224-1402
Mailing address:
  • Phone: 302-224-1400
  • Fax: 302-224-1402

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberL8-0010489
License Number StateDE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: