Healthcare Provider Details

I. General information

NPI: 1457271454
Provider Name (Legal Business Name): KATLYN N DEANGELIS MSN, APRN, ACCNS-AG,
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/20/2026
Last Update Date: 07/20/2026
Certification Date: 07/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4755 OGLETOWN STANTON RD
NEWARK DE
19718-2200
US

IV. Provider business mailing address

4755 OGLETOWN STANTON RD
NEWARK DE
19718-2200
US

V. Phone/Fax

Practice location:
  • Phone: 302-623-7600
  • Fax:
Mailing address:
  • Phone: 302-733-5681
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code364SA2100X
TaxonomyAcute Care Clinical Nurse Specialist
License NumberLV-0010147
License Number StateDE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: