| Nutrihealth Llc | |
|
20930 Dupont Blvd Unit 202 Georgetown DE 19947-1724 | |
| (302) 856-3737 | |
| Not Available |
| Full Name | Nutrihealth Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 20930 Dupont Blvd Unit 202, Georgetown, Delaware |
| Authorized Official Name and Position | Beshara Helou (OWNER) |
| Authorized Official Contact | 3023812882 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Nutrihealth Llc 20930 Dupont Blvd Unit 202 Georgetown DE 19947-1724 Ph: () - | Nutrihealth Llc 20930 Dupont Blvd Unit 202 Georgetown DE 19947-1724 Ph: (302) 856-3737 |
| NPI Number | 1013547637 |
|---|---|
| Provider Enumeration Date | 01/23/2020 |
| Last Update Date | 01/23/2020 |
| Medicare PECOS PAC ID | 9537597919 |
|---|---|
| Medicare Enrollment ID | O20200318000782 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013547637 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Beshara Helou |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407811490 PECOS PAC ID: 4284641812 Enrollment ID: I20060307000548 |
| Provider Name | Lori A Irelan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487788055 PECOS PAC ID: 4880838093 Enrollment ID: I20130910000017 |
| Provider Name | Catherine A Barber |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124424627 PECOS PAC ID: 5193048841 Enrollment ID: I20150105000117 |
| Provider Name | Breanna M Diaz |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1811540545 PECOS PAC ID: 0042642571 Enrollment ID: I20191121000451 |
| Provider Name | Tanisha Lafayette |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093342420 PECOS PAC ID: 8729417068 Enrollment ID: I20200407002552 |
| Provider Name | Madison Lei Hines |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1801404223 PECOS PAC ID: 1658796354 Enrollment ID: I20200728003659 |
| Provider Name | Tracy Dysard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053385344 PECOS PAC ID: 8820199326 Enrollment ID: I20201007000821 |
| Provider Name | Jamie Weisman |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1780237222 PECOS PAC ID: 6305234931 Enrollment ID: I20211101000427 |
| Provider Name | Beverly Fountain |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1225750813 PECOS PAC ID: 8224406319 Enrollment ID: I20221121002823 |
| Provider Name | Daniel Alan Hirst |
|---|---|
| Provider Type | Practitioner - Other (physician) |
| Provider Identifiers | NPI Number: 1366113342 PECOS PAC ID: 3375918667 Enrollment ID: I20230419002240 |
| Provider Name | Christopher Michael Nguyen |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1346955903 PECOS PAC ID: 0547625949 Enrollment ID: I20230508000278 |
| Provider Name | Taylor M Domann |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1093409971 PECOS PAC ID: 5092174607 Enrollment ID: I20230629002359 |
| Provider Name | Candace E Conaway |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790476331 PECOS PAC ID: 6103287610 Enrollment ID: I20230801000470 |
| Provider Name | Kelsey Elizabeth Mcmunn |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1013695360 PECOS PAC ID: 7012378011 Enrollment ID: I20230807000990 |
| Provider Name | Heather Dunning |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497231740 PECOS PAC ID: 3274882808 Enrollment ID: I20230911000008 |
| Provider Name | Rachel Forrest |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417654393 PECOS PAC ID: 1456715218 Enrollment ID: I20230912002183 |
| Provider Name | Sumer Faye Walker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154987279 PECOS PAC ID: 8022465541 Enrollment ID: I20231106000965 |
| Provider Name | Mimi Joye Hilderley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043905011 PECOS PAC ID: 2860849312 Enrollment ID: I20231106002244 |
| Provider Name | Jaclyn Elise Wahner |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1588428882 PECOS PAC ID: 5698112415 Enrollment ID: I20240328000435 |
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