Provider Demographics
NPI:1578700472
Name:PALERMO, SONIA E (NP)
Entity Type:Individual
Prefix:
First Name:SONIA
Middle Name:E
Last Name:PALERMO
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:SONIA
Other - Middle Name:E
Other - Last Name:CRUZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 30170
Mailing Address - Street 2:
Mailing Address - City:WILMINGTON
Mailing Address - State:DE
Mailing Address - Zip Code:19805-7170
Mailing Address - Country:US
Mailing Address - Phone:302-655-5822
Mailing Address - Fax:302-655-5949
Practice Address - Street 1:3506 KENNETT PIKE
Practice Address - Street 2:
Practice Address - City:WILMINGTON
Practice Address - State:DE
Practice Address - Zip Code:19807
Practice Address - Country:US
Practice Address - Phone:302-661-3070
Practice Address - Fax:302-661-3080
Is Sole Proprietor?:No
Enumeration Date:2009-01-14
Last Update Date:2013-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DELG-0000468363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner