EXTENSIVE HEALTH SERVICES LLC NPI 1407402787

NPI Information

EXTENSIVE HEALTH SERVICES LLC is a primary care nurse practitioner in Newark, DE. EXTENSIVE HEALTH SERVICES LLC NPI is 1407402787. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

280 E MAIN ST STE 112
NEWARK, DE
ZIP 19711-324
Phone: (302) 696-5511
Fax: (302) 286-7382

The provider's authorized official is Kareemah Hammond .
The authorized official title is Owner and has the following contact phone number (302) 294-6250.

The CLIA number assigned to this NPI record is 08D2248410 - practitioner other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/13/2019 and was last updated on 1/30/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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