Healthcare Provider Details

I. General information

NPI: 1366237745
Provider Name (Legal Business Name): ST ALBERT FAMILY CLINIC INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

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

III. Provider practice location address

314 E MAIN ST
NEWARK DE
19711-7128
US

IV. Provider business mailing address

314 E MAIN ST
NEWARK DE
19711-7128
US

V. Phone/Fax

Practice location:
  • Phone: 302-312-5177
  • Fax:
Mailing address:
  • Phone: 302-312-5177
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code261QM0855X
TaxonomyAdolescent and Children Mental Health Clinic/Center
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code261QP2300X
TaxonomyPrimary Care Clinic/Center
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: MR. JEAN MARIE TUETE
Title or Position: MANAGING PARTNER
Credential: DNP
Phone: 302-312-5177