Organization
COREWELL MEDICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JANICE KPAKA FNP-BC (FAMILY NURSE PRACTITIONER)
(347) 938-4601
Entity
Organization
Contact information
Practice address
2417 LANCASTER AVE, WILMINGTON, DE 19805-3736
(347) 938-4601
Mailing address
2417 LANCASTER AVE, WILMINGTON, DE 19805-3736
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
—
—
Other
Enumeration date
04/19/2024
Last updated
04/19/2024
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