Individual
SUSAN M WALDRON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
200 HYGEIA DR, UNIT A, NEWARK, DE 19713-2049
(302) 623-0200
(302) 623-0275
Mailing address
200 HYGEIA DR, UNIT A, NEWARK, DE 19713-2049
(302) 623-0200
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
LJ00000110
DE
363LP0200X
Pediatric Nurse Practitioner
LJ-0000110
DE
Other
Enumeration date
07/08/2008
Last updated
02/14/2012
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