Healthcare Provider Details

I. General information

NPI: 1538969043
Provider Name (Legal Business Name): ISHARA LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/14/2025
Last Update Date: 04/16/2026
Certification Date: 04/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1145 PULASKI HWY STE 146A
BEAR DE
19701-1305
US

IV. Provider business mailing address

1145 PULASKI HWY STE 146A
BEAR DE
19701-1305
US

V. Phone/Fax

Practice location:
  • Phone: 302-521-0763
  • Fax: 302-778-9806
Mailing address:
  • Phone: 302-521-0763
  • Fax: 302-778-9806

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: TABITHA MBUGUA
Title or Position: OWNER
Credential: APRN FNP-C
Phone: 302-521-0763