Healthcare Provider Details
I. General information
NPI: 1780682716
Provider Name (Legal Business Name): MARGARET M. CORRIGAN-MASSEY M.S.N., R.N.C.S.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 07/13/2005
Last Update Date: 10/01/2020
Certification Date: 10/01/2020
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2600 GLASGOW AVE SUITE 124
NEWARK DE
19702-4777
US
IV. Provider business mailing address
1320 PHILADELPHIA PIKE
WILMINGTON DE
19809-1818
US
V. Phone/Fax
- Phone: 302-836-4200
- Fax: 302-836-8431
- Phone: 302-798-0666
- Fax: 302-798-2401
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 363LA2200X |
| Taxonomy | Adult Health Nurse Practitioner |
| License Number | LB-0000109 |
| License Number State | DE |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: