Provider Demographics
NPI:1568852358
Name:FORSYTHE-DENNISON, HALLIE KATRINA (CRNP)
Entity Type:Individual
Prefix:MS
First Name:HALLIE
Middle Name:KATRINA
Last Name:FORSYTHE-DENNISON
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:MS
Other - First Name:HALLIE
Other - Middle Name:KATRINA
Other - Last Name:DENNISON
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:CRNP
Mailing Address - Street 1:3 EMERSON CT
Mailing Address - Street 2:
Mailing Address - City:MIDDLETOWN
Mailing Address - State:DE
Mailing Address - Zip Code:19709-1646
Mailing Address - Country:US
Mailing Address - Phone:215-586-1393
Mailing Address - Fax:302-378-3697
Practice Address - Street 1:3 EMERSON CT
Practice Address - Street 2:
Practice Address - City:MIDDLETOWN
Practice Address - State:DE
Practice Address - Zip Code:19709-1646
Practice Address - Country:US
Practice Address - Phone:302-213-3210
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-01-31
Last Update Date:2023-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASP014713363L00000X
DELP-0000133363L00000X
DEL8-0010355363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner