Healthcare Provider Details

I. General information

NPI: 1801948419
Provider Name (Legal Business Name): MAY OBORYSHKO CRNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/17/2007
Last Update Date: 03/25/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

509 W 8TH ST 2ND FLOOR
WILMINGTON DE
19801-1407
US

IV. Provider business mailing address

509 W 8TH ST
WILMINGTON DE
19801-1407
US

V. Phone/Fax

Practice location:
  • Phone: 302-777-2860
  • Fax: 302-777-2861
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberSP009250
License Number StatePA
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberLG-0000414
License Number StateDE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: