Organization · Type 2 NPI

Bayhealth Medical Center, Inc

Nurse Practitioner · Dover, DE

NPI number 1972060887 Active

Practice location

640 S State St
Dover, DE 19901-3530

Fax (302) 744-7181

Specialties and licenses

Taxonomy	Code	License
Nurse Practitioner Primary	363L00000X	None listed

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

293 other providers at this address

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NPI record

NPI: 1972060887
Entity type: Organization (Type 2)
Issued: Feb 27, 2019
Last updated: Feb 28, 2019
Status: Active

Other names

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Bayhealth Palliative Care, Kent Campus · doing business as
Bayhealth Palliative Care, Kent Campus · doing business as

Authorized official

Michael Tretina
Sr. Vice President/ CFO
(302) 744-7162

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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 1972060887

Bayhealth Medical Center, Inc's National Provider Identifier is 1972060887, issued on Feb 27, 2019. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Dover, DE. The record was last updated on Feb 28, 2019.