Provider Demographics
NPI:1992975445
Name:MCCLOSKEY, NANCY L (APN)
Entity type:Individual
Prefix:MRS
First Name:NANCY
Middle Name:L
Last Name:MCCLOSKEY
Suffix:
Gender:F
Credentials:APN
Other - Prefix:MISS
Other - First Name:NANCY
Other - Middle Name:
Other - Last Name:THOMAS
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:APN
Mailing Address - Street 1:1600 ROCKLAND RD
Mailing Address - Street 2:NEMOURS CARDIAC CENTER
Mailing Address - City:WILMINGTON
Mailing Address - State:DE
Mailing Address - Zip Code:19803-3607
Mailing Address - Country:US
Mailing Address - Phone:302-651-6600
Mailing Address - Fax:302-651-5345
Practice Address - Street 1:1600 ROCKLAND RD
Practice Address - Street 2:NEMOURS CARDIAC CENTER
Practice Address - City:WILMINGTON
Practice Address - State:DE
Practice Address - Zip Code:19803-3607
Practice Address - Country:US
Practice Address - Phone:302-651-6600
Practice Address - Fax:302-651-5345
Is Sole Proprietor?:No
Enumeration Date:2008-03-11
Last Update Date:2008-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEL10024554363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner