Healthcare Provider Details

I. General information

NPI: 1942030473
Provider Name (Legal Business Name): ENFUSE HEALTH AND WELLNESS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/07/2024
Last Update Date: 10/04/2025
Certification Date: 10/04/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

101 BECKS WOODS DR
BEAR DE
19701-3854
US

IV. Provider business mailing address

13 KAREN CT
NEW CASTLE DE
19720-5171
US

V. Phone/Fax

Practice location:
  • Phone: 302-595-9964
  • Fax:
Mailing address:
  • Phone:
  • Fax:

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: SIDONIE SALMON
Title or Position: NURSE PRACTITIONER
Credential:
Phone: 302-599-9346