Organization
FAVOR HEALTHCARE PRACTICE LLC
Active
Organization
FAVOR HEALTHCARE PRACTICE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IHUOMA CHUKS APRN-NP-C (OWNER)
(302) 363-5769
Entity
Organization
Contact information
Practice address
200 S DUPONT BLVD STE 104, SMYRNA, DE 19977-1552
(302) 423-0568
Mailing address
200 S DUPONT BLVD STE 104, SMYRNA, DE 19977-1552
(302) 423-0568
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
—
—
363LF0000X
Family Nurse Practitioner
Primary
L10024346
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1235417247
NPI TYPE 1
—
Enumeration date
06/08/2017
Last updated
10/19/2022
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