Healthcare Provider Details

I. General information

NPI: 1457961989
Provider Name (Legal Business Name): NADISHA LEVY FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/10/2020
Last Update Date: 10/29/2025
Certification Date: 10/29/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

620 STANTON CHRISTIANA RD STE 303
NEWARK DE
19713-2135
US

IV. Provider business mailing address

620 STANTON CHRISTIANA RD STE 303
NEWARK DE
19713-2135
US

V. Phone/Fax

Practice location:
  • Phone: 302-400-9999
  • Fax: 302-600-3589
Mailing address:
  • Phone: 302-400-9999
  • Fax: 302-600-3589

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberLG-0001375
License Number StateDE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: