MEDICARE: DE TRINITY PM HEALTH

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	261QH0100X	Health Service Clinic/Center
2	363LP2300X	Primary Care Nurse Practitioner
3	207Q00000X	Family Medicine Physician
4	363LP0808X	Psychiatric/Mental Health Nurse Practitioner
5	363LA2200X	Adult Health Nurse Practitioner
6	363L00000X	Nurse Practitioner

General Provider Information

NPI Number	:	1174358352
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DE TRINITY PM HEALTH

Provider Business Mailing Address
First Line	:	2300 PENNSYLVANIA AVE STE 3B
Second Line	:
City	:	WILMINGTON
State	:	DE
Zip	:	19806-1333
Country	:	US
Telephone Number	:	302-339-2260
Fax Number	:

Provider Business Practice Location Address
First Line	:	2300 PENNSYLVANIA AVE STE 3B
Second Line	:
City	:	WILMINGTON
State	:	DE
Zip	:	19806-1333
Country	:	US
Telephone Number	:	302-339-2260
Fax Number	:

Authorized Official
Title or Position	:	FNP, PMHNP
Name	:	MRS. ADEBOLA RITA USUAH
Credential	:	NP
Telephone Number	:	302-339-2260

Provider Enumeration Date	:	09/05/2024
Last Update Date	:	02/06/2026

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Directions to “DE TRINITY PM HEALTH ” Practice Location

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