Healthcare Provider Details

I. General information

NPI: 1538064506
Provider Name (Legal Business Name): SHARITA BOYER
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/10/2026
Last Update Date: 10/10/2026
Certification Date: 10/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1307 E 28TH ST
WILMINGTON DE
19802-3724
US

IV. Provider business mailing address

1307 E 28TH STREET
WILMINGTON DE
19802
US

V. Phone/Fax

Practice location:
  • Phone: 640-235-7387
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: