Provider Demographics
NPI:1508908955
Name:PUSEY, POLLY CARTER (FNP)
Entity Type:Individual
Prefix:MRS
First Name:POLLY
Middle Name:CARTER
Last Name:PUSEY
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14993 TRAP POND RD
Mailing Address - Street 2:
Mailing Address - City:LAUREL
Mailing Address - State:DE
Mailing Address - Zip Code:19956-3129
Mailing Address - Country:US
Mailing Address - Phone:302-875-5807
Mailing Address - Fax:302-629-0886
Practice Address - Street 1:399 N MARKET ST
Practice Address - Street 2:
Practice Address - City:SEAFORD
Practice Address - State:DE
Practice Address - Zip Code:19973-2611
Practice Address - Country:US
Practice Address - Phone:302-629-0884
Practice Address - Fax:302-629-0886
Is Sole Proprietor?:No
Enumeration Date:2007-02-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEL1-0015394163WG0000X
DELG-0000130363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered163WG0000XNursing Service ProvidersRegistered NurseGeneral Practice
Not Answered363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily