Individual
MRS. SUSAN RAE PARKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
16295 WILLOW CREEK RD, LEWES, DE 19958-3614
(302) 644-0999
(302) 644-3099
Mailing address
21094 COOL SPRING RD, MILTON, DE 19968-3318
(302) 448-9156
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
LG-0000819
DE
363L00000X
Nurse Practitioner
Primary
LG-0000819
DE
Other
Enumeration date
03/09/2015
Last updated
06/16/2021
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