| NPI | 1154836500 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARRIE TENNEY Director Of Business Services 302-449-7484 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Enumeration Date | 2017-12-07 |
| Last Update Date | 2023-03-15 |