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NPI Code Detail

MEDICARE: DELAWARE SPECIALIZED CARE AND WELLNESS

MEDICARE: DELAWARE SPECIALIZED CARE AND WELLNESS
Medicare Provider Information

Scope of Practice

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

# Taxonomy Code Taxonomy License Number License Number State
1363LP2300XPrimary Care Nurse Practitioner

General Provider Information

NPI Number : 1780364828
Entity Type Code : Organization
Provider Name (Legal Business Name) : DELAWARE SPECIALIZED CARE AND WELLNESS
Provider Business Mailing Address
First Line : 4550 LINDEN HILL RD STE 152
Second Line :
City : WILMINGTON
State : DE
Zip : 19808-2909
Country : US
Telephone Number : 302-276-8353
Fax Number : 302-683-1312
Provider Business Practice Location Address
First Line : 4550 LINDEN HILL RD STE 152
Second Line :
City : WILMINGTON
State : DE
Zip : 19808-2909
Country : US
Telephone Number : 302-276-8353
Fax Number : 302-683-1312
Authorized Official
Title or Position : CEO/OWNER
Name : ELIZABETH BOWMAN
Credential : LPCMH
Telephone Number : 302-276-8353
Provider Enumeration Date : 07/24/2023
Last Update Date : 07/24/2023

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Directions to “DELAWARE SPECIALIZED CARE AND WELLNESS ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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