CHEF WELLNESS CLINIC NPI 1417665241

NPI Information

  • NPI: 1417665241
  • Provider Name: CHEF WELLNESS CLINIC
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Organization
  • CLIA Number: 39D2322518
  • Address: 1016 WARRIOR RD STE B
    DREXEL HILL, PA
    ZIP 19026
  • Phone: (302) 238-6200

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NPI Details

CHEF WELLNESS CLINIC is a family nurse practitioner in Drexel Hill, PA. CHEF WELLNESS CLINIC NPI is 1417665241. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1016 WARRIOR RD STE B
DREXEL HILL, PA
ZIP 19026-845
Phone: (302) 238-6200

The provider's authorized official is Angeline Bradwell .
The authorized official title is Nurse Practitioner and has the following contact phone number (302) 238-6200.

The CLIA number assigned to this NPI record is 39D2322518 - practitioner other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/10/2022 and was last updated on 6/11/2024.

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:

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

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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