| 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 |