Provider Demographics
NPI:1962507582
Name:LUCEY, RITA ANNE (RN, MSN)
Entity Type:Individual
Prefix:
First Name:RITA
Middle Name:ANNE
Last Name:LUCEY
Suffix:
Gender:F
Credentials:RN, MSN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:205 ALDERS DR
Mailing Address - Street 2:
Mailing Address - City:WILMINGTON
Mailing Address - State:DE
Mailing Address - Zip Code:19803-5303
Mailing Address - Country:US
Mailing Address - Phone:025-623-3993
Mailing Address - Fax:
Practice Address - Street 1:205 ALDERS DR
Practice Address - Street 2:
Practice Address - City:WILMINGTON
Practice Address - State:DE
Practice Address - Zip Code:19803-5303
Practice Address - Country:US
Practice Address - Phone:302-477-1812
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-09-14
Last Update Date:2022-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DELN0000115364S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes364S00000XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse Specialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
DE364S00000XOtherDMAP TAXONOMY
P06397Medicare UPIN
DE364S00000XOtherDMAP TAXONOMY