Individual
TARA AGWU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
124 SLEEPY HOLLOW DR STE 240, MIDDLETOWN, DE 19709-5838
(302) 400-9999
(302) 600-3578
Mailing address
PO BOX 67537, NEWARK, NJ 07101-8009
(302) 400-9999
(302) 600-3578
Taxonomy
Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
L1-0054564
DE
363LF0000X
Family Nurse Practitioner
Primary
LG-0013112
DE
Other
Enumeration date
01/29/2025
Last updated
07/31/2025
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