Healthcare Provider Details

I. General information

NPI: 1093326183
Provider Name (Legal Business Name): TRACEE SHERLOCK
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/12/2020
Last Update Date: 12/14/2025
Certification Date: 12/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

575 S DUPONT HWY
NEW CASTLE DE
19720-4606
US

IV. Provider business mailing address

103 RAMUNNO CIR
HOCKESSIN DE
19707-9700
US

V. Phone/Fax

Practice location:
  • Phone: 302-328-3330
  • Fax:
Mailing address:
  • Phone: 302-383-5929
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberL8-0010218
License Number StateDE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: