Individual provider · Type 1 NPI
Gretchen Shahan
Health Service Clinic/Center · Wilmington, DE
NPI number
1669861233
Active
Practice location
1311 Brandywine Blvd
Wilmington, DE 19809-2306
Mailing address
2716 Keswick Ct
Wilmington, DE 19808-3633
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Health Service Clinic/Center Primary | 261QH0100X | J1-0001643 (DE) |
Health Service Clinic/Center: Definition to come...
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About NPI 1669861233
Gretchen Shahan's National Provider Identifier is 1669861233, issued on Jan 20, 2015. The primary taxonomy on file is Health Service Clinic/Center (261QH0100X), and the practice location is in Wilmington, DE. The record was last updated on Jan 20, 2015.