Healthcare Provider Details

I. General information

NPI: 1386153211
Provider Name (Legal Business Name): DELAWARE WALK-IN MEDICAL, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/22/2017
Last Update Date: 11/12/2020
Certification Date: 11/12/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

379 WALMART DR
CAMDEN DE
19934-1365
US

IV. Provider business mailing address

18 BOULDEN CIR STE 18
NEW CASTLE DE
19720-3494
US

V. Phone/Fax

Practice location:
  • Phone: 302-698-4441
  • Fax:
Mailing address:
  • Phone: 302-294-0069
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QU0200X
TaxonomyUrgent Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: HIEN NGUYEN
Title or Position: MANAGING MEMBER
Credential: MD
Phone: 443-701-4060