NPI 1649920216 · live from the CMS NPI Registry
Gideon Esuzor
Nurse Practitioner, Psych/Mental Health in Wilmington, DE. National Provider Identifier 1649920216, active.
NPI record
| NPI | 1649920216 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Nurse Practitioner, Psych/Mental Health 363LP0808X |
| Practice location | 2300 Pennsylvania Ave Unit LLC, Wilmington, DE 19806 |
| Practice phone | 302-213-6158 |
| Mailing address | 13603 White Barn Ln, Herndon, VA 20171 |
| Enumerated | March 26, 2022 |
| Last updated | December 17, 2025 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse, Psych/Mental Health, Adult | 163WP0809X | RN190476 (GA) |
| Nurse Practitioner, Psych/Mental Health | 363LP0808X | 0024189217 (VA) |
| Nurse Practitioner, Psych/Mental Health | 363LP0808X | AC006300 (MD) |
| Nurse Practitioner, Psych/Mental Health primary | 363LP0808X | L8-0010781 (DE) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.