| NPI | 1548620958 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM MATTHEWS Director Of Operations 302-363-5839 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: HI APRN-754) |
| Additional Taxonomies | 163WW0000X Registered Nurse, Wound Care |
| Enumeration Date | 2016-02-26 |
| Last Update Date | 2023-02-10 |