Organization
ALMA SURRATT PMHNP, CNS-BC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALMA SURRATT PMHNP, CNS-BC (DIRECTOR)
(302) 542-1710
Entity
Organization
Contact information
Practice address
32711 LONG NECK RD, MILLSBORO, DE 19966
(302) 542-1710
Mailing address
32711 LONG NECK RD, MILLSBORO, DE 19966-6678
(302) 542-1710
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
LE-0000172
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2018601484
DELAWARE BUSINESS LICENSE
DE
01
—
L8-0000135
PSYCHIATRIC MENTAL HEALTH NURSE PRACTITIONER
DE
Enumeration date
03/06/2018
Last updated
05/31/2018
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