| Breaking Barriers Llc | |
|
1326 S Governors Ave Ste C Dover DE 19904-4800 | |
| (302) 612-0352 | |
| (302) 566-2866 |
| Full Name | Breaking Barriers Llc |
|---|---|
| Speciality | Nurse Practitioner |
| Location | 1326 S Governors Ave Ste C, Dover, Delaware |
| Authorized Official Name and Position | Sherri L Clark (OWNER/PROVIDER) |
| Authorized Official Contact | 3027448086 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Breaking Barriers Llc 1326 S Governors Ave Ste C Dover DE 19904-4800 Ph: (302) 744-8086 | Breaking Barriers Llc 1326 S Governors Ave Ste C Dover DE 19904-4800 Ph: (302) 612-0352 |
| NPI Number | 1205583515 |
|---|---|
| Provider Enumeration Date | 03/07/2022 |
| Last Update Date | 02/21/2025 |
| Certification Date | 02/21/2025 |
| Medicare PECOS PAC ID | 7416335195 |
|---|---|
| Medicare Enrollment ID | O20220608002721 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205583515 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | (* (Not Available)) | Primary |
| Provider Name | Sherri L Clark |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366031726 PECOS PAC ID: 8820494172 Enrollment ID: I20211116001083 |
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