NPI 1174021992 · live from the CMS NPI Registry
Advanced Care Basic, LLC
Nurse Practitioner, Psych/Mental Health in Middletown, DE. National Provider Identifier 1174021992, active.
NPI record
| NPI | 1174021992 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Nurse Practitioner, Psych/Mental Health 363LP0808X |
| Practice location | 3 Emerson Ct, Middletown, DE 19709 |
| Practice phone | 215-586-1393 |
| Enumerated | January 26, 2018 |
| Last updated | December 4, 2022 |
| Authorized official | Hallie Dennison, Nurse Practitioner |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinic/Center, Primary Care | 261QP2300X | — |
| Nurse Practitioner, Family | 363LF0000X | — |
| Nurse Practitioner, Psych/Mental Health primary | 363LP0808X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.