Healthcare Provider Details
I. General information
NPI: 1942287123
Provider Name (Legal Business Name): PATRICIA CIRANNI NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 12/28/2005
Last Update Date: 03/18/2021
Certification Date: 03/18/2021
Deactivation Date:
Reactivation Date:
III. Provider practice location address
4735 OGLETOWN STANTON RD STE 2300
NEWARK DE
19713-8005
US
IV. Provider business mailing address
4735 OGLETOWN STANTON RD STE 2300
NEWARK DE
19713-8005
US
V. Phone/Fax
- Phone: 302-225-6110
- Fax:
- Phone: 302-225-6110
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 363LX0001X |
| Taxonomy | Obstetrics & Gynecology Nurse Practitioner |
| License Number | L10015768 |
| License Number State | DE |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: