NPI 1083078612 · live from the CMS NPI Registry
Affinity Wellness & Consultants
Nurse Practitioner, Family in Middletown, DE. National Provider Identifier 1083078612, active.
NPI record
| NPI | 1083078612 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Nurse Practitioner, Family 363LF0000X |
| Practice location | 5350 Summit Bridge Rd Ste 107, Middletown, DE 19709 |
| Practice phone | 302-803-2797 |
| Mailing address | 382 Daniel Rd, Smyrna, DE 19977 |
| Enumerated | April 10, 2016 |
| Last updated | June 11, 2019 |
| Authorized official | Amber Manning, Owner |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinic/Center, Primary Care | 261QP2300X | — |
| Nurse Practitioner, Family primary | 363LF0000X | LG-0000643 (DE) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.