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NPI 1326828401 · live from the CMS NPI Registry

Beachfront Internal Medicine And Mental Health Clinic LLC

Nurse Practitioner, Psych/Mental Health in Lewes, DE. National Provider Identifier 1326828401, active.

NPI record

NPI1326828401 Type 2 · organization
StatusActive
Primary specialtyNurse Practitioner, Psych/Mental Health 363LP0808X
Practice location33759 Clay Rd Unit 2, Lewes, DE 19958
Practice phone302-236-4694
Mailing address114 Morgan Way, Milton, DE 19968
EnumeratedOctober 4, 2023
Last updatedJanuary 30, 2024
Authorized officialJoanna Robertson, Owner

Taxonomies and licenses

TaxonomyCodeLicense
Nurse Practitioner, Family363LF0000X—
Nurse Practitioner, Psych/Mental Health primary363LP0808X—

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.