Healthcare Provider Details

I. General information

NPI: 1174145262
Provider Name (Legal Business Name): THE NATURAL HYPERTENSION INSTITUTE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/11/2020
Last Update Date: 05/11/2020
Certification Date: 05/11/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

207 SUTTON WAY
NEWARK DE
19711-3244
US

IV. Provider business mailing address

207 SUTTON WAY
NEWARK DE
19711-3244
US

V. Phone/Fax

Practice location:
  • Phone: 302-533-7704
  • Fax:
Mailing address:
  • Phone: 425-953-6443
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RH0005X
TaxonomyHypertension Specialist Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251V00000X
TaxonomyVoluntary or Charitable Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code261QC1500X
TaxonomyCommunity Health Clinic/Center
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code261QP3300X
TaxonomyPain Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MS. ZELDA L JOHNSON
Title or Position: PRACTITIONER STUDENT
Credential: DNMC MSPH MAHAS
Phone: 425-953-6443