Healthcare Provider Details

I. General information

NPI: 1487583118
Provider Name (Legal Business Name): NICOLE M EGAN DOCTOR OF AUDIOLOGY
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/18/2026
Last Update Date: 08/06/2026
Certification Date: 08/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1320 MIDDLEFORD RD STE 201
SEAFORD DE
19973-3649
US

IV. Provider business mailing address

1320 MIDDLEFORD RD STE 201
SEAFORD DE
19973-3649
US

V. Phone/Fax

Practice location:
  • Phone: 302-404-5084
  • Fax: 302-404-5269
Mailing address:
  • Phone: 302-404-5084
  • Fax: 302-404-5269

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code231H00000X
TaxonomyAudiologist
License Number41YA00140500
License Number StateNJ
# 2
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License NumberO2-0010359
License Number StateDE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: