Individual
SUSAN EILEEN PETRILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
4755 OGLETOWN STANTON RD, 3D38, NEWARK, DE 19718-2200
(302) 733-5628
(302) 733-3887
Mailing address
2006 WEATHERTON DR, WILMINGTON, DE 19810-3543
(302) 367-4583
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
LP-00001118
DE
363L00000X
Nurse Practitioner
SP014891
PA
Other
Enumeration date
09/17/2014
Last updated
09/24/2015
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