NPI | 1689959538 |
---|---|
Doing Business As | BEACON WELLNESS |
Entity Type | Organization |
Authorized Contact | NANCY M GIDEON Md/Practice Owner 302-645-8212 |
Organization Subpart ? | No |
Primary Taxonomy | 208000000X Pediatrics |
Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics |
363LP0808X Nurse Practitioner, Psych/Mental Health | |
Enumeration Date | 2011-10-11 |
Last Update Date | 2025-05-09 |