Healthcare Provider Details

I. General information

NPI: 1538984109
Provider Name (Legal Business Name): MARY TRANSUE
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/19/2024
Last Update Date: 04/13/2026
Certification Date: 04/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

537 STANTON CHRISTIANA RD STE 207
NEWARK DE
19713-2148
US

IV. Provider business mailing address

537 STANTON CHRISTIANA RD STE 207
NEWARK DE
19713-2148
US

V. Phone/Fax

Practice location:
  • Phone: 302-633-7550
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: