Wilmington 1st Walk-in | |
4001 Miller Rd Ste 1 Wilmington DE 19802-1961 | |
(302) 407-5222 | |
(302) 407-5221 |
Full Name | Wilmington 1st Walk-in |
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Speciality | Clinic/Center |
Location | 4001 Miller Rd Ste 1, Wilmington, Delaware |
Authorized Official Name and Position | Taylor Ashley Roane Burge (CEO) |
Authorized Official Contact | 3024075222 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Wilmington 1st Walk-in 4001 Miller Rd Wilmington DE 19802-1961 Ph: (302) 407-5222 | Wilmington 1st Walk-in 4001 Miller Rd Ste 1 Wilmington DE 19802-1961 Ph: (302) 407-5222 |
NPI Number | 1285191494 |
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Provider Enumeration Date | 02/24/2019 |
Last Update Date | 11/15/2022 |
Medicare PECOS PAC ID | 7214270461 |
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Medicare Enrollment ID | O20190510000642 |
Identifier | Type | State | Issuer |
---|---|---|---|
1285191494 | NPI | - | NPPES |
1174951081 | Medicaid | DE | |
250549932 | Medicaid | DE | |
1629473483 | Medicaid | DE |
Provider Name | Taylor A Burge |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1174951081 PECOS PAC ID: 4486882180 Enrollment ID: I20131231001416 |
Provider Name | Mbwidiffu Achilles Dibal |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1629473483 PECOS PAC ID: 6002124005 Enrollment ID: I20150924001142 |
Provider Name | Rebecca Bamfo |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1417494436 PECOS PAC ID: 0244515146 Enrollment ID: I20170315001973 |
Provider Name | Nadisha Derona Roberta Levy |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1457961989 PECOS PAC ID: 0648681452 Enrollment ID: I20201201000237 |
Provider Name | Olutomi Dosunmu |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1285304915 PECOS PAC ID: 6608274071 Enrollment ID: I20211015000749 |
Provider Name | Elizabeth C Sharp-asiyo |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1043642465 PECOS PAC ID: 1254724651 Enrollment ID: I20220208000568 |
Provider Name | Sheila Gaines |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1912666314 PECOS PAC ID: 1254726706 Enrollment ID: I20220318001088 |
Provider Name | Angeline Bradwell |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1669951075 PECOS PAC ID: 5092065193 Enrollment ID: I20221108003080 |
Provider Name | Amarjit Kumari |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1578282042 PECOS PAC ID: 0446622146 Enrollment ID: I20230206002468 |
Provider Name | Sharon Cave-adens |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1093089567 PECOS PAC ID: 8426302225 Enrollment ID: I20230308002612 |
Provider Name | Porleah Farley-krah |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1407552151 PECOS PAC ID: 9133594583 Enrollment ID: I20230417002159 |
Provider Name | Jennifer Okagbare |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1972373850 PECOS PAC ID: 3971946641 Enrollment ID: I20240209000810 |
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