# TD ADVANCED PRACTICE PROVIDER SERVICES

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** 20230297585
- **Other names:** Optimal Weight Loss
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1861273476
- **Legal business name:** 20230297585
- **Authorized official:** TAMICA NICHOLE D'AGUIAR NP (MANAGER)
- **Authorized official phone:** (856) 340-8466

## Contact information

- **Practice address:** 501 SILVERSIDE RD STE 61, WILMINGTON, DE 19809-1394
- **Practice address phone:** (302) 308-3404
- **Mailing address:** 102 OKLAHOMA AVE, WILMINGTON, DE 19803-3236
- **Mailing address phone:** (856) 340-8466

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LA2200X | Adult Health Nurse Practitioner | — | NULL | Yes |
| 363LA2200X | Adult Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 10/10/2023
- **Last updated:** 08/10/2026