Healthcare Provider Details

I. General information

NPI: 1376255844
Provider Name (Legal Business Name): NAMORY MEDICAL SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/15/2022
Last Update Date: 09/01/2026
Certification Date: 09/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1521 CONCORD PIKE STE 301
WILMINGTON DE
19803-3644
US

IV. Provider business mailing address

1521 CONCORD PIKE STE 301
WILMINGTON DE
19803-3644
US

V. Phone/Fax

Practice location:
  • Phone: 610-470-0363
  • Fax: 302-269-3987
Mailing address:
  • Phone: 610-470-0363
  • Fax: 302-269-3987

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: DEHCONTEE LUTHER GUAR
Title or Position: NURSE PRACTITIONER
Credential:
Phone: 610-470-0363