Healthcare Provider Details

I. General information

NPI: 1568493252
Provider Name (Legal Business Name): CLARE SZYMANSKI CNM
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/05/2006
Last Update Date: 12/30/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4735 OGLETOWN STANTON RD SUITE 2300
NEWARK DE
19713-2072
US

IV. Provider business mailing address

4735 OGLETOWN STANTON RD SUITE 2300
NEWARK DE
19713-2072
US

V. Phone/Fax

Practice location:
  • Phone: 302-224-8400
  • Fax: 302-225-1111
Mailing address:
  • Phone: 302-224-8400
  • Fax: 302-225-1111

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LX0001X
TaxonomyObstetrics & Gynecology Nurse Practitioner
License NumberLH0000182
License Number StateDE
# 2
Primary TaxonomyY
Taxonomy Code176B00000X
TaxonomyMidwife
License NumberLK-0000150
License Number StateDE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: