Provider Demographics
NPI:1568606267
Name:CONLIN, MARILOU B (RN)
Entity Type:Individual
Prefix:
First Name:MARILOU
Middle Name:B
Last Name:CONLIN
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:21777 SUSSEX PINES RD
Mailing Address - Street 2:
Mailing Address - City:GEORGETOWN
Mailing Address - State:DE
Mailing Address - Zip Code:19947-3901
Mailing Address - Country:US
Mailing Address - Phone:302-856-3636
Mailing Address - Fax:302-856-3376
Practice Address - Street 1:21777 SUSSEX PINES RD
Practice Address - Street 2:
Practice Address - City:GEORGETOWN
Practice Address - State:DE
Practice Address - Zip Code:19947-3901
Practice Address - Country:US
Practice Address - Phone:302-856-3636
Practice Address - Fax:302-856-3376
Is Sole Proprietor?:Yes
Enumeration Date:2009-04-24
Last Update Date:2009-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEL1-0014132163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse