Individual provider · Type 1 NPI

Shannan Georgov, NP

Nurse Practitioner · Newark, DE

NPI number 1255046546 Active

Practice location

100 Discovery Blvd
Newark, DE 19713-1325

Mailing address

100 Discovery Blvd Ste 101
Newark, DE 19713-1325

Specialties and licenses

TaxonomyCodeLicense
Gerontology Nurse Practitioner 363LG0600XSP026462 (PA)
Primary Care Nurse Practitioner 363LP2300XSP026462 (PA)
Nurse Practitioner Primary 363L00000XLP-0010674 (DE)
Nurse Practitioner 363L00000XSP026462 (PA)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1255046546

Shannan Georgov, NP's National Provider Identifier is 1255046546, issued on Jan 20, 2023. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Newark, DE. The record was last updated on Mar 27, 2025.