Individual
SAM KIDANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
314 E MAIN ST STE 103, NEWARK, DE 19711-7180
(302) 366-0550
Mailing address
3830 GREEN ST, CLAYMONT, DE 19703-2054
(302) 299-5161
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
0024188207
VA
363LF0000X
Family Nurse Practitioner
Primary
LG-0011831
DE
Other
Enumeration date
11/26/2021
Last updated
05/14/2024
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