Healthcare Provider Details

I. General information

NPI: 1538198130
Provider Name (Legal Business Name): CAROLYN S DELOE CRNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: CAROLYN L SPALDING CRNP

II. Dates (important events)

Enumeration Date: 07/03/2006
Last Update Date: 04/24/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1275 YORK RD STE 17
GETTYSBURG PA
17325-7565
US

IV. Provider business mailing address

116 S GEORGE ST
YORK PA
17401-1474
US

V. Phone/Fax

Practice location:
  • Phone: 717-337-9400
  • Fax: 717-337-1205
Mailing address:
  • Phone: 717-846-5846
  • Fax: 717-854-0377

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberR152040
License Number StateMD
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberSP006628B
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: