Individual provider · Type 1 NPI
Tara Agwu
Family Nurse Practitioner · Middletown, DE
NPI number
1689487043
Active
Practice location
124 Sleepy Hollow Dr Ste 240
Middletown, DE 19709-5838
Fax (302) 600-3578
Mailing address
PO Box 67537
Newark, NJ 07101-8009
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Emergency Registered Nurse | 163WE0003X | L1-0054564 (DE) |
| Family Nurse Practitioner Primary | 363LF0000X | LG-0013112 (DE) |
Family Nurse Practitioner: Definition to come...
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About NPI 1689487043
Tara Agwu's National Provider Identifier is 1689487043, issued on Jan 29, 2025. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Middletown, DE. The record was last updated on Jul 31, 2025.