NPI 1689487043 · live from the CMS NPI Registry
Tara Agwu
Nurse Practitioner, Family in Middletown, DE. National Provider Identifier 1689487043, active.
NPI record
| NPI | 1689487043 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Nurse Practitioner, Family 363LF0000X |
| Practice location | 124 Sleepy Hollow Dr Ste 240, Middletown, DE 19709 |
| Practice phone | 302-400-9999 |
| Mailing address | Po Box 67537, Newark, NJ 07101 |
| Enumerated | January 29, 2025 |
| Last updated | July 31, 2025 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse, Emergency | 163WE0003X | L1-0054564 (DE) |
| Nurse Practitioner, Family primary | 363LF0000X | LG-0013112 (DE) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.