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NPI Code Detail

MEDICARE: WHOLEPATH LLC

MEDICARE: WHOLEPATH LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363L00000XNurse Practitioner
2261QM0801XMental Health Clinic/Center (Including Community Mental Health Center)
3363LP0808XPsychiatric/Mental Health Nurse Practitioner

General Provider Information

NPI Number : 1326810078
Entity Type Code : Organization
Provider Name (Legal Business Name) : WHOLEPATH LLC
Provider Business Mailing Address
First Line : 720 WALLASEY DR
Second Line :
City : MIDDLETOWN
State : DE
Zip : 19709-1547
Country : US
Telephone Number : 302-602-6850
Fax Number :
Provider Business Practice Location Address
First Line : 601 E NAYLOR MILL RD UNIT F
Second Line :
City : SALISBURY
State : MD
Zip : 21804-2256
Country : US
Telephone Number : 302-602-6850
Fax Number :
Authorized Official
Title or Position : PRESIDENT
Name : HILDA AZEFOR
Credential : PMHNP
Telephone Number : 302-602-6850
Provider Enumeration Date : 10/26/2023
Last Update Date : 06/04/2026

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Directions to “WHOLEPATH LLC ” Practice Location

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