MEDICARE: NASHIA FOREMAN LBS

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
1	174400000X	Specialist	BH003195	PA

General Provider Information

NPI Number	:	1982531828
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NASHIA FOREMAN LBS

Provider Business Mailing Address
First Line	:	1338 RIVERSIDE DR
Second Line	:
City	:	WILMINGTON
State	:	DE
Zip	:	19809-2437
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1338 RIVERSIDE DR
Second Line	:
City	:	WILMINGTON
State	:	DE
Zip	:	19809-2437
Country	:	US
Telephone Number	:	267-979-3100
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/05/2026
Last Update Date	:	05/05/2026

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Directions to “ NASHIA FOREMAN LBS” Practice Location

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