NPI 1013319433

Susan Eileen Petrillo, NP

Practitioner Nurse Practitioner Newark, DE

Practice location

Address: 4755 Ogletown Stanton Rd 3d38, Newark, DE 19718-2200
Phone: (302) 733-5628
Fax: (302) 733-3887
Mailing address: 2006 Weatherton Dr, Wilmington, DE 19810-3543

Registered specialties (2)

Nurse Practitioner Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363L00000X Licence LP-00001118 (DE)

Other Nurse Practitioner providers in Delaware →

Nurse Practitioner

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363L00000X Licence SP014891 (PA)

Registry record

NPI: 1013319433
Entity type: Individual
Sex (as registered): Female
NPI issued: 17 Sep 2014
Record last updated: 24 Sep 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.