MEDICARE: ALPHA HEALTH CARE ASSOCIATES

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	207Q00000X	Family Medicine Physician
2	363LF0000X	Family Nurse Practitioner
3	363LP0808X	Psychiatric/Mental Health Nurse Practitioner
4	363LP2300X	Primary Care Nurse Practitioner
5	363LX0106X	Occupational Health Nurse Practitioner
6	363L00000X	Nurse Practitioner

General Provider Information

NPI Number	:	1811723687
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ALPHA HEALTH CARE ASSOCIATES

Provider Business Mailing Address
First Line	:	2300 PENNSYLVANIA AVE STE 3B
Second Line	:
City	:	WILMINGTON
State	:	DE
Zip	:	19806-1333
Country	:	US
Telephone Number	:	302-250-4084
Fax Number	:	302-596-8998

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	:	302-250-4084
Fax Number	:	302-596-8998

Authorized Official
Title or Position	:	PROVIDER/OWNER
Name	:	MONICA SAM
Credential	:	ARCRNP, FNP, PMHNP
Telephone Number	:	302-345-1188

Provider Enumeration Date	:	09/10/2024
Last Update Date	:	09/10/2024

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Directions to “ALPHA HEALTH CARE ASSOCIATES ” Practice Location

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