FAVOR HEALTHCARE PRACTICE LLC NPI 1639608086

NPI Information

FAVOR HEALTHCARE PRACTICE LLC is a family nurse practitioner in Smyrna, DE. FAVOR HEALTHCARE PRACTICE LLC NPI is 1639608086. The provider is registered as an organization entity type.

The provider's business location address is:

200 S DUPONT BLVD STE 104
SMYRNA, DE
ZIP 19977-552
Phone: (302) 423-0568

The provider's authorized official is Ihuoma Chuks .
The authorized official title is Owner and has the following contact phone number (302) 363-5769.

The CLIA number assigned to this NPI record is 08D2282961 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/8/2017 and was last updated on 10/19/2022.

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:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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