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NPI 1427792928 · live from the CMS NPI Registry

Bayside Wellness LLC

Nurse Practitioner, Psych/Mental Health in Milford, DE. National Provider Identifier 1427792928, active.

NPI record

NPI1427792928 Type 2 · organization
StatusActive
Primary specialtyNurse Practitioner, Psych/Mental Health 363LP0808X
Practice location1197 Airport Rd Ste 2, Milford, DE 19963
Practice phone302-508-0541
Mailing address73 Greentree Dr # 335, Dover, DE 19904
EnumeratedApril 21, 2022
Last updatedJuly 7, 2026
Authorized officialEmily Heishman, 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.