| Advanced Treatment Options, Llc | |
|
604 Milltown Rd Wilmington DE 19808-2227 | |
| (888) 517-2088 | |
| (302) 998-3242 |
| Full Name | Advanced Treatment Options, Llc |
|---|---|
| Speciality | Clinical Nurse Specialist |
| Location | 604 Milltown Rd, Wilmington, Delaware |
| Authorized Official Name and Position | Karen L. Gibble (MEMBER) |
| Authorized Official Contact | 8885172088 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Advanced Treatment Options, Llc 604 Milltown Rd Wilmington DE 19808-2227 Ph: (888) 517-2088 | Advanced Treatment Options, Llc 604 Milltown Rd Wilmington DE 19808-2227 Ph: (888) 517-2088 |
| NPI Number | 1275711236 |
|---|---|
| Provider Enumeration Date | 02/01/2008 |
| Last Update Date | 03/03/2014 |
| Medicare PECOS PAC ID | 1254490204 |
|---|---|
| Medicare Enrollment ID | O20081105000238 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275711236 | NPI | - | NPPES |
| Provider Name | Karen L Gibble |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1619910775 PECOS PAC ID: 8628036142 Enrollment ID: I20041229000792 |
| Provider Name | Gayla Denise Cragg |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730728098 PECOS PAC ID: 3072941871 Enrollment ID: I20200310000037 |
| Provider Name | Jennifer Blaine Devaughn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467152033 PECOS PAC ID: 4981050069 Enrollment ID: I20231130003794 |
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