IndividualActive
Susan Imam
NPI 1821212689 · Critical Care Neonatal Nurse Practitioner · Newark, DE
Provider details
- NPI number
- 1821212689
- Entity type
- Individual
- Primary specialty
- Critical Care Neonatal Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Female
- Sole proprietor
- Yes
- License
- LM-0000105 (DE)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
Ogletown- Stanton Rd
Newark, DE 19718-0001
Phone: (302) 733-2961
Approximate (ZIP-level) locationGet directions
Mailing address
151 Scott Rd
Warwick, MD 21912-1257
Registry dates
- Enumerated
- 2007-04-12
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.