A PEACEFUL PLACE INTEGRATED CARE NPI 1801487046

NPI Information

  • NPI: 1801487046
  • Provider Name: A PEACEFUL PLACE INTEGRATED CARE
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Organization
  • Doing Business As: A PEACEFUL PLACE INTEGRATED CARE
  • CLIA Number: 08D2219349
  • Address: 1001 S BRADFORD ST STE 7
    DOVER, DE
    ZIP 19904
  • Phone: (302) 264-9436

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NPI Details

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 5/29/2024.

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
1101YA0400XCounselorAddiction (Substance Use Disorder)No
21041C0700XSocial WorkerClinicalNo
3171M00000XCase Manager/Care CoordinatorNo
4363LF0000XNurse PractitionerFamilyYes
5363LG0600XNurse PractitionerGerontologyNo
6363LP0808XNurse PractitionerPsychiatric/Mental HealthNo

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
1LG-0000855OTHERDELAWARESTATES LICENSE
21992186142MEDICAIDDELAWARE

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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