Healthcare Provider Details

I. General information

NPI: 1013894799
Provider Name (Legal Business Name): LUANA FURTADO
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/16/2025
Last Update Date: 10/06/2026
Certification Date: 10/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

32248 SANDPIPER DR
MILLSBORO DE
19966-4451
US

IV. Provider business mailing address

32248 SANDPIPER DR
MILLSBORO DE
19966-4451
US

V. Phone/Fax

Practice location:
  • Phone: 302-519-2601
  • Fax:
Mailing address:
  • Phone: 302-519-2601
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: