# NUEVA TU, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1922604610
- **Authorized official:** MRS. STEPHANIE L PRATHER (OWNER/MEMBER)
- **Authorized official phone:** (302) 562-1940

## Contact information

- **Practice address:** 24 CELESTIAL WAY, NEWARK, DE 19711-1914
- **Practice address phone:** (302) 562-1940
- **Mailing address:** 24 CELESTIAL WAY, NEWARK, DE 19711-1914

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 224Y00000X | Clinical Exercise Physiologist | — | NULL | Yes |
| 224Y00000X | Clinical Exercise Physiologist | — | — | Yes |

## Other

- **Enumeration date:** 12/08/2020
- **Last updated:** 12/08/2020