| NPI | 1982355319 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BERNARD ADDOGOH Nurse Practitioner 302-898-9494 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Additional Taxonomies | 363L00000X Nurse Practitioner |
| 363LP0808X Nurse Practitioner, Psych/Mental Health | |
| 363LP2300X Nurse Practitioner, Primary Care | |
| Enumeration Date | 2022-01-18 |
| Last Update Date | 2024-01-25 |