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TARA AGWU

Individual Provider (NPI-1) Active

Nurse Practitioner, Family

Provider Information

NPI Number
1689487043
Provider Type
Individual Provider (NPI-1)
Status
Active

Contact & Location

Address
124 SLEEPY HOLLOW DR STE 240, MIDDLETOWN, DE, 197095838
Phone
(302) 400-9999
Fax
(302) 600-3578

Specialties & Taxonomies

Registered Nurse, Emergency License: DE #L1-0054564
Nurse Practitioner, Family Primary License: DE #LG-0013112

All Addresses

LOCATION

124 SLEEPY HOLLOW DR STE 240

MIDDLETOWN, DE, 197095838

(302) 400-9999

MAILING

PO BOX 67537

NEWARK, NJ, 071018009

(302) 400-9999