Healthcare Provider Details

I. General information

NPI: 1982531828
Provider Name (Legal Business Name): NASHIA FOREMAN LBS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/05/2026
Last Update Date: 05/05/2026
Certification Date: 05/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1338 RIVERSIDE DR
WILMINGTON DE
19809-2437
US

IV. Provider business mailing address

1338 RIVERSIDE DR
WILMINGTON DE
19809-2437
US

V. Phone/Fax

Practice location:
  • Phone: 267-979-3100
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License NumberBH003195
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: