Individual
CHARIS FORAKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
910 S CHAPEL ST, NEWARK, DE 19713-3467
(302) 224-1400
Mailing address
4 STONE BARN DR, HOCKESSIN, DE 19707-2002
(302) 757-5446
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
L8-0010266
DE
Other
Enumeration date
09/14/2021
Last updated
09/14/2021
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