Provider Demographics
NPI:1679187181
Name:DIROCCO, SHEILA LEE (APRN, AGCNS-BC)
Entity Type:Individual
Prefix:
First Name:SHEILA
Middle Name:LEE
Last Name:DIROCCO
Suffix:
Gender:F
Credentials:APRN, AGCNS-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:26982 MARYDEL RD
Mailing Address - Street 2:
Mailing Address - City:MARYDEL
Mailing Address - State:MD
Mailing Address - Zip Code:21649-1413
Mailing Address - Country:US
Mailing Address - Phone:302-233-2329
Mailing Address - Fax:
Practice Address - Street 1:640 S STATE ST
Practice Address - Street 2:
Practice Address - City:DOVER
Practice Address - State:DE
Practice Address - Zip Code:19901-3530
Practice Address - Country:US
Practice Address - Phone:302-744-6223
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-09-02
Last Update Date:2020-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEL1-0024177364SR0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes364SR0400XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistRehabilitation