Healthcare Provider Details

I. General information

NPI: 1144594680
Provider Name (Legal Business Name): SUSAN CAROLYN COREY DNP, APN-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/01/2012
Last Update Date: 01/15/2025
Certification Date: 01/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

506 UNION ST
MILTON DE
19968-1047
US

IV. Provider business mailing address

506 UNION ST
MILTON DE
19968-1047
US

V. Phone/Fax

Practice location:
  • Phone: 302-644-4606
  • Fax:
Mailing address:
  • Phone: 302-329-3110
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code364SP0809X
TaxonomyAdult Psychiatric/Mental Health Clinical Nurse Specialist
License NumberCNS000048
License Number StatePA
# 2
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberLE-0000185
License Number StateDE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: