Provider Demographics
NPI:1538198130
Name:DELOE, CAROLYN S (CRNP)
Entity type:Individual
Prefix:
First Name:CAROLYN
Middle Name:S
Last Name:DELOE
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:CAROLYN
Other - Middle Name:L
Other - Last Name:SPALDING
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CRNP
Mailing Address - Street 1:116 S GEORGE ST
Mailing Address - Street 2:
Mailing Address - City:YORK
Mailing Address - State:PA
Mailing Address - Zip Code:17401-1474
Mailing Address - Country:US
Mailing Address - Phone:717-846-5846
Mailing Address - Fax:717-854-0377
Practice Address - Street 1:1275 YORK RD STE 17
Practice Address - Street 2:
Practice Address - City:GETTYSBURG
Practice Address - State:PA
Practice Address - Zip Code:17325-7565
Practice Address - Country:US
Practice Address - Phone:717-337-9400
Practice Address - Fax:717-337-1205
Is Sole Proprietor?:No
Enumeration Date:2006-07-03
Last Update Date:2018-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR152040363LF0000X
PASP006628B363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA105161OtherJOHNS HOPKINS
PA50081734OtherCAPITAL BLUE CROSS-WMG
PA1916438OtherHIGHMARK FREEDOM BLUE
PA1551672OtherGATEWAY-YH
PA50061346OtherCAPITAL BLUE CROSS-YH
PA1082034OtherHEALTH AMERICA/HEALTH ASSURANCE
MD617840OtherCAREFIRST MD BCBS
PA044083EZ3Medicare PIN
PA044083EBXMedicare PIN
PA1916438OtherHIGHMARK FREEDOM BLUE
PA1551672OtherGATEWAY-YH