Tara Agwu
Nurse Practitioner, Family in Middletown, Delaware
1689487043- Practice location
- 124 Sleepy Hollow Dr Ste 240, Middletown, DE 19709-5838
- Phone
- 302-400-9999
- Fax
- 302-600-3578
- Last updated
- July 31, 2025
Tara Agwu is a Nurse Practitioner, Family based in Middletown, DE. Tara Agwu practices in Middletown, DE. The NPI Number for Tara Agwu is 1689487043 and holds a License No. L1-0054564 (DE). The current practice location address for Tara Agwu is 124 Sleepy Hollow Dr Ste 240, Middletown, DE 19709-5838 and can be reached out via phone at 302-400-9999 and via fax at 302-600-3578.
Provider Profile Details
- NPI Number
- 1689487043
- Provider Name
- Tara Agwu
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 124 Sleepy Hollow Dr Ste 240, Middletown, DE 19709-5838
- Phone Number
- 302-400-9999
- Fax Number
- 302-600-3578
- Primary Taxonomy
- Nurse Practitioner, Family · 363LF0000X
- Sole Proprietor
- No
- Provider Enumeration Date
- January 29, 2025
- Last Update Date
- July 31, 2025
- Certification Date
- July 31, 2025
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 124 Sleepy Hollow Dr Ste 240
Middletown, DE 19709-5838 - City
- Middletown
- State
- Delaware
- Zip
- 19709-5838
- Phone Number
- 302-400-9999
- Fax Number
- 302-600-3578
Provider Business Mailing Address Details
- Address
- Po Box 67537
Newark, NJ 07101-8009 - City
- Newark
- State
- NJ
- Zip
- 07101-8009
- Phone Number
- 302-400-9999
- Fax Number
- 302-600-3578
License Information
- License Number (1)
- L1-0054564
- License State (1)
- DE
- Taxonomy (1)
- Registered Nurse, Emergency · 163WE0003X
- License Number (2)
- LG-0013112
- License State (2)
- DE
- Taxonomy (2)
- Nurse Practitioner, Family · 363LF0000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Tara Agwu?
The NPI number of Tara Agwu is 1689487043. It was assigned on January 29, 2025 and is currently active in the NPPES registry.
What is the specialty of Tara Agwu?
Tara Agwu is registered under the primary taxonomy Nurse Practitioner, Family (code 363LF0000X), licensed in DE under license number L1-0054564.
Where does Tara Agwu practice?
The practice location is 124 Sleepy Hollow Dr Ste 240, Middletown, DE 19709-5838. The office can be reached at 302-400-9999 (phone) or 302-600-3578 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1689487043 directly on the NPPES registry website.