Provider Demographics
NPI:1457120313
Name:EARLEY, ALICIA MARIE (FNP-BC)
Entity Type:Individual
Prefix:
First Name:ALICIA
Middle Name:MARIE
Last Name:EARLEY
Suffix:
Gender:F
Credentials:FNP-BC
Other - Prefix:
Other - First Name:ALICIA
Other - Middle Name:M
Other - Last Name:PRESS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:159 OLIVINE CIR
Mailing Address - Street 2:
Mailing Address - City:TOWNSEND
Mailing Address - State:DE
Mailing Address - Zip Code:19734-2004
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:100 S MAIN ST STE 207
Practice Address - Street 2:
Practice Address - City:SMYRNA
Practice Address - State:DE
Practice Address - Zip Code:19977-1479
Practice Address - Country:US
Practice Address - Phone:302-659-4490
Practice Address - Fax:302-659-4495
Is Sole Proprietor?:No
Enumeration Date:2023-12-20
Last Update Date:2024-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEL1-0042916163W00000X
DELG-0012586363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse