Organization
ADVANCED CARE BASIC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HALLIE K DENNISON CRNP (NURSE PRACTITIONER)
(215) 586-1393
Entity
Organization
Contact information
Practice address
3 EMERSON CT, MIDDLETOWN, DE 19709-1646
(215) 586-1393
(302) 378-3697
Mailing address
3 EMERSON CT, MIDDLETOWN, DE 19709-1646
(215) 586-1393
(302) 378-3697
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
—
—
363LF0000X
Family Nurse Practitioner
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
01/26/2018
Last updated
12/04/2022
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