Healthcare Provider Details

I. General information

NPI: 1528783230
Provider Name (Legal Business Name): NARCISO JULIAN BARRIOS NURSE PRACTITIONER
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/05/2022
Last Update Date: 10/12/2022
Certification Date: 10/12/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

400 CHRISTIANA MEDICAL CTR
NEWARK DE
19702-1654
US

IV. Provider business mailing address

9470 S DUPONT HWY
FELTON DE
19943-5672
US

V. Phone/Fax

Practice location:
  • Phone: 302-722-8800
  • Fax:
Mailing address:
  • Phone: 302-270-8142
  • Fax: 302-722-8784

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberLG-0012097
License Number StateDE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: