Organization · Type 2 NPI

Atlantic General Hospital Corporation

Family Nurse Practitioner · Selbyville, DE

NPI number 1790503464 Active

Practice location

38394 Dupont Blvd Ste H
Selbyville, DE 19975-3049

Call (302) 524-5007 Map

Fax (302) 524-5011

Mailing address

9733 Healthway Dr
Berlin, MD 21811-1156

Specialties and licenses

Taxonomy	Code	License
Nurse Practitioner	363L00000X	None listed
Family Nurse Practitioner Primary	363LF0000X	None listed
Obstetrics & Gynecology Nurse Practitioner	363LX0001X	None listed

Family Nurse Practitioner: Definition to come...

2 other providers at this address

NPI record

NPI: 1790503464
Entity type: Organization (Type 2)
Issued: Oct 1, 2024
Last updated: Oct 1, 2024
Status: Active
Subpart: Yes of Atlantic General Hospital Corporation

Other names

Atlantic General Health System · doing business as

Authorized official

James Kanuch
Chief Financial Officer
(410) 641-9602

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1790503464

Atlantic General Hospital Corporation's National Provider Identifier is 1790503464, issued on Oct 1, 2024. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Selbyville, DE. The record was last updated on Oct 1, 2024.