Organization
PRIMECARE COMPREHENSIVE HEALTH, LLC
Active
Organization
PRIMECARE COMPREHENSIVE HEALTH, LLC
Active
Other names
PRIME THERAPY
Organization subpart
No
Provider details
NPI number
Authorized official
ADA CHUK KWAN LEE NURSE PRACTITIONER (OWNER)
(917) 915-8506
Entity
Organization
Contact information
Practice address
2600 GLASGOW AVE STE 203, NEWARK, DE 19702-5704
(302) 204-1639
(302) 209-6927
Mailing address
220 SILVER BIRCH LN, BEAR, DE 19701-2384
(917) 915-8506
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
—
—
363LP2300X
Primary Care Nurse Practitioner
Primary
—
—
Other
Enumeration date
06/01/2024
Last updated
09/29/2024
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