Organization · NPI-2
Acute General Medical PLLC
Nurse Practitioner, Family · Wilmington, DE
NPI number1114643475
StatusActive
Last updated in NPPESMar 4, 2025
Details
- NPI
- 1114643475
- Entity type
- Organization (NPI-2)
- Legal business name
- Acute General Medical PLLC
- Organization subpart
- Yes
- Enumeration date
- Oct 18, 2022
- Certification date
- Mar 4, 2025
- Last updated
- Mar 4, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | – | – | Yes |
| 101YM0800X | Counselor, Mental Health | – | – | |
| 1041C0700X | Social Worker, Clinical | – | – | |
| 363A00000X | Physician Assistant | – | – |
Practice location
4020 Concord PikeWilmington, DE 19803-1718
Phone 866-389-2727
Mailing address
1 Cvs Dr # Mc2295Woonsocket, RI 02895-6146
Authorized official
Deborah Pincince
Administrator
4017703813
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