Organization
BEACON PEDIATRICS LLC
Active
Organization
BEACON PEDIATRICS LLC
Active
Other names
Beacon Wellness
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NANCY M GIDEON MD (MD/PRACTICE OWNER)
(302) 645-8212
Entity
Organization
Contact information
Practice address
18947 JOHN J WILLIAMS HWY, SUITE 212, REHOBOTH BEACH, DE 19971-4474
(302) 645-8212
(302) 645-2199
Mailing address
18947 JOHN J WILLIAMS HWY, SUITE 212, REHOBOTH BEACH, DE 19971-4474
(302) 645-8212
(302) 645-2199
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
363LP0200X
Pediatric Nurse Practitioner
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Enumeration date
10/11/2011
Last updated
05/09/2025
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