Healthcare Provider Details

I. General information

NPI: 1003031162
Provider Name (Legal Business Name): AMY WALLIG PAROSKY MSN, RNC, NNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/16/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4755 OGLETOWN-STANTON RD ROOM 2410
NEWARK DE
19718-0001
US

IV. Provider business mailing address

349 MISTY VALE DR
MIDDLETOWN DE
19709-2125
US

V. Phone/Fax

Practice location:
  • Phone: 302-733-2359
  • Fax: 302-733-5168
Mailing address:
  • Phone: 302-733-2359
  • Fax: 302-733-5168

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LN0000X
TaxonomyNeonatal Nurse Practitioner
License NumberLM-0000107
License Number StateDE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: