A PEACEFUL PLACE INTEGRATED CARE NPI 1801487046

NPI Information

A PEACEFUL PLACE INTEGRATED CARE is a family nurse practitioner in Dover, DE. A PEACEFUL PLACE INTEGRATED CARE NPI is 1801487046. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As A Peaceful Place Integrated Care.

The provider's business location address is:

1001 S BRADFORD ST STE 7
DOVER, DE
ZIP 19904-153
Phone: (302) 264-9436
Fax: (302) 264-9702

The provider's authorized official is Ericka Daniel .
The authorized official title is Ceo/provider and has the following contact phone number (302) 264-9436.

The CLIA number assigned to this NPI record is 08D2219349 - other - np with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/31/2021 and was last updated on 8/31/2023.

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:

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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