Bancroft Behavioral Health
Nurse Practitioner, Psych/Mental Health in Newark, DE. Organization (NPI-2).
NPI number1992017479
StatusActive
Last updated in NPPESMay 24, 2016
Details
- NPI
- 1992017479
- Entity type
- Organization (NPI-2)
- Legal business name
- Bancroft Behavioral Health
- Organization subpart
- No
- Enumeration date
- Jul 13, 2010
- Last updated
- May 24, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LP0808X | Nurse Practitioner, Psych/Mental Health | L8-0000104 | DE | Yes |
Practice location
1423 Capitol Trail Drummond Plaza Office ParkBuilding 1, Suite 1107
Newark, DE 19711
Phone 302-502-3255 · Fax 302-502-3257
Mailing address
1423 Capitol Trail Drummond Plaza Office ParkBuilding 1, Suite 1107
Newark, DE 19711
Phone 302-502-3255 · Fax 302-502-3257
Authorized official
Bradley Stanford Why
Psychiatric/Mental Health Nurse Pra
3025023255
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