Provider Demographics
NPI:1669874632
Name:WASHBURN, LORIANN (AC-CRNP-FAMILY)
Entity type:Individual
Prefix:
First Name:LORIANN
Middle Name:
Last Name:WASHBURN
Suffix:
Gender:F
Credentials:AC-CRNP-FAMILY
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:223 E CRAIL CT
Mailing Address - Street 2:
Mailing Address - City:MIDDLETOWN
Mailing Address - State:DE
Mailing Address - Zip Code:19709-8724
Mailing Address - Country:US
Mailing Address - Phone:610-717-6062
Mailing Address - Fax:
Practice Address - Street 1:131 BECKS WOODS DRIVE
Practice Address - Street 2:
Practice Address - City:BEAR
Practice Address - State:DE
Practice Address - Zip Code:19701-1970
Practice Address - Country:US
Practice Address - Phone:302-303-7740
Practice Address - Fax:302-595-3142
Is Sole Proprietor?:No
Enumeration Date:2014-09-22
Last Update Date:2021-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDAC-CRNP-FAMILY363LF0000X
DELG-0000989363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily