Healthcare Provider Details

I. General information

NPI: 1053847335
Provider Name (Legal Business Name): AUTHERINE NORMA VISSY STERLING FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: AUTHERINE NORMA VISSY STERLING FNP

II. Dates (important events)

Enumeration Date: 05/05/2017
Last Update Date: 06/28/2024
Certification Date: 06/28/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2 SOLITUDE WAY
WILMINGTON DE
19808-2018
US

IV. Provider business mailing address

2 SOLITUDE WAY
WILMINGTON DE
19808-2018
US

V. Phone/Fax

Practice location:
  • Phone: 302-494-6859
  • Fax:
Mailing address:
  • Phone: 302-494-6859
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberLG-0001033
License Number StateDE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: