| NPI | 1417665241 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELINE BRADWELL Nurse Practitioner 302-238-6200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2022-11-10 |
| Last Update Date | 2023-03-08 |