NPI 1114643475 · live from the CMS NPI Registry
Acute General Medical PLLC
Nurse Practitioner, Family in Wilmington, DE. National Provider Identifier 1114643475, active.
NPI record
| NPI | 1114643475 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Nurse Practitioner, Family 363LF0000X |
| Practice location | 4020 Concord Pike, Wilmington, DE 19803 |
| Practice phone | 866-389-2727 |
| Mailing address | 1 Cvs Dr # Mc2295, Woonsocket, RI 02895 |
| Enumerated | October 18, 2022 |
| Last updated | March 4, 2025 |
| Authorized official | Deborah Pincince, Administrator |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor, Mental Health | 101YM0800X | — |
| Social Worker, Clinical | 1041C0700X | — |
| Physician Assistant | 363A00000X | — |
| Nurse Practitioner, Family primary | 363LF0000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.