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Individual

MONICA SAM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
FNP

Contact information

Practice address
2006 LIMESTONE RD STE 7, WILMINGTON, DE 19808
(302) 355-2383
(302) 351-6261
Mailing address
2300 PENNSYLVANIA AVE STE 3B, WILMINGTON, DE 19806-1333
(302) 596-8999
(302) 596-8998

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
LG-0001069
DE

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
LG-0001069
STATE LICENSE
DE
Enumeration date
05/23/2018
Last updated
05/14/2025
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