Individual
TIFFANY SUMMERILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
509 N WALNUT ST, WILMINGTON, DE 19804-2667
(302) 293-8581
Mailing address
509 N WALNUT ST, WILMINGTON, DE 19804-2667
(302) 293-8581
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
SP027166
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NONE
NONE
DE
Enumeration date
06/29/2020
Last updated
06/07/2023
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