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NPI 1750001855 · live from the CMS NPI Registry

Ud Health LLC

Nurse Practitioner, Family in Newark, DE. National Provider Identifier 1750001855, active.

NPI record

NPI1750001855 Type 2 · organization
StatusActive
Primary specialtyNurse Practitioner, Family 363LF0000X
Practice location540 S College Ave Ste 130, Newark, DE 19713
Practice phone302-831-3195
Mailing address100 Discovery Blvd Ste 721, Newark, DE 19713
EnumeratedAugust 30, 2022
Last updatedFebruary 8, 2024
Authorized officialJed Castellucci, Chief Clinical Operating Officer

Taxonomies and licenses

TaxonomyCodeLicense
Dietitian, Registered133V00000X—
Health Educator174H00000X—
Physical Therapist225100000X—
Rehabilitation Practitioner225400000X—
Audiologist231H00000X—
Speech-Language Pathologist, 235Z00000X—
Clinic/Center261Q00000X—
Clinic/Center, Developmental Disabilities261QD1600X—
Clinic/Center, Physical Therapy261QP2000X—
Nurse Practitioner, Family primary363LF0000X—

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