Provider Demographics
NPI:1568917326
Name:CONWAY, ANNE DEE (RN)
Entity Type:Individual
Prefix:MRS
First Name:ANNE
Middle Name:DEE
Last Name:CONWAY
Suffix:
Gender:F
Credentials:RN
Other - Prefix:MISS
Other - First Name:ANNE
Other - Middle Name:DEE
Other - Last Name:ACKERMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:84 BLACKPOOL RD
Mailing Address - Street 2:
Mailing Address - City:REHOBOTH BEACH
Mailing Address - State:DE
Mailing Address - Zip Code:19971-3511
Mailing Address - Country:US
Mailing Address - Phone:302-500-2112
Mailing Address - Fax:
Practice Address - Street 1:18947 JOHN J WILLIAMS HWY UNIT 101
Practice Address - Street 2:
Practice Address - City:REHOBOTH BEACH
Practice Address - State:DE
Practice Address - Zip Code:19971-4480
Practice Address - Country:US
Practice Address - Phone:302-645-3770
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-08-22
Last Update Date:2024-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEL1-0030052163WI0500X
DEL8-0010586363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No163WI0500XNursing Service ProvidersRegistered NurseInfusion Therapy