| NPI | 1831698075 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROLYN HAINES Director Nurse Managed Primary Care 302-831-3195 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner |
| Enumeration Date | 2018-02-02 |
| Last Update Date | 2018-02-02 |