FAVOR HEALTHCARE PRACTICE LLC NPI 1639608086

NPI Information

NPI: 1639608086
Provider Name: FAVOR HEALTHCARE PRACTICE LLC
Classification: Nurse Practitioner - 363LF0000X
Specialization: Family
Entity Type: Organization
Address: 200 S DUPONT BLVD STE 104
SMYRNA, DE
ZIP 19977
Phone: (302) 423-0568

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NPI Details

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 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:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QP2300X	Clinic/Center	Primary Care			No
2	363LF0000X	Nurse Practitioner	Family	L10024346	DELAWARE	Yes

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
1	1235417247	OTHER		NPI TYPE 1

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: 3/30/2025

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