| NPI | 1639776784 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ASHLEY E TAYLOR Provider/Ap RN 302-258-5810 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2020-10-01 |
| Last Update Date | 2021-01-11 |