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Favor Healthcare Practice Llc
Family Nurse Practitioner in Smyrna, Delaware
NPI 1639608086

Favor Healthcare Practice Llc is a Family Nurse Practitioner based in Smyrna, DE and is specialized in Family. Favor Healthcare Practice Llc practices in Smyrna, DE. The NPI Number for Favor Healthcare Practice Llc is 1639608086 and holds a License No. (Delaware).

The current practice location address for Favor Healthcare Practice Llc is 200 S Dupont Blvd Ste 104, Smyrna, DE and can be reached out via phone at 302-423-0568.

Location: 200 S Dupont Blvd Ste 104, Smyrna, DE, 19977-1552
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1639608086
Provider Name
Favor Healthcare Practice Llc
Credential
Provider Entity Type
Organization
Address
200 S Dupont Blvd Ste 104, Smyrna, DE, 19977-1552
Phone Number
302-423-0568
Fax Number
Provider Enumeration Date
06/08/2017
Last Update Date
03/13/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1235417247 01 NPI TYPE 1
institution
Provider Business Practice Location Address Details
Address
200 S Dupont Blvd Ste 104
City
Smyrna
State
Delaware
Zip
19977-1552
Phone Number
302-423-0568
Fax Number
person
Provider Business Mailing Address Details
Address
200 S Dupont Blvd Ste 104
City
Smyrna
State
Delaware
Zip
19977-1552
Phone Number
302-423-0568
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Primary Care
Taxonomy
261QP2300X
License No.
L10024346 (Delaware)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
()
Definition
Definition to come...
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