PREMIER MEDICAL ASSOCIATES NPI 1114648920

NPI Information

  • NPI: 1114648920
  • Provider Name: PREMIER MEDICAL ASSOCIATES
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Organization
  • Address: 620 STANTON CHRISTIANA RD STE 101
    NEWARK, DE
    ZIP 19713
  • Phone: (302) 449-7484

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NPI Details

PREMIER MEDICAL ASSOCIATES is a family nurse practitioner in Newark, DE. PREMIER MEDICAL ASSOCIATES NPI is 1114648920. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

620 STANTON CHRISTIANA RD STE 101
NEWARK, DE
ZIP 19713-134
Phone: (302) 449-7484

The provider's authorized official is Rochelle Thawley .
The authorized official title is Credentialing Specialist and has the following contact phone number (302) 449-9314.

The enumeration date for this NPI number is 9/9/2022 and was last updated on 3/15/2023.

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:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LF0000XNurse PractitionerFamilyYes

Other Identifiers

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

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1250691905MEDICAIDDELAWARE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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