SUSAN CAROL PORTH

WILMINGTON, DE
NPI1083678890
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: DE  L1-0024916)
Additional Taxonomies363LP0200X Nurse Practitioner, Pediatrics
(Licence: PA  UP003645O)
363L00000X Nurse Practitioner
(Licence: PA  UP0036450)
Enumeration Date2006-04-17
Last Update Date2013-01-04
Business Address
Ms. SUSAN CAROL PORTH APN
1600 ROCKLAND RD AI DUPONT HOSPITAL FOR CHILDREN
WILMINGTON, DE 19803-3607
Phone number: 302-651-4200
Mailing Address
Ms. SUSAN CAROL PORTH APN
PO BOX 191 PROVIDER ENROLLMENT
ROCKLAND, DE 19732-0191
Phone number: 302-651-4000
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