| Coastal Neurology And Wellness Center, Llc | |
|
111 Heritage Blvd Milton DE 19968-2201 | |
| (978) 893-8900 | |
| (978) 893-8900 |
| Full Name | Coastal Neurology And Wellness Center, Llc |
|---|---|
| Speciality | Psychiatry & Neurology - Neurology |
| Location | 111 Heritage Blvd, Milton, Delaware |
| Authorized Official Name and Position | Anastasiia S Israel (NURSE PRACTITIONER) |
| Authorized Official Contact | 9788938900 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Coastal Neurology And Wellness Center, Llc 111 Heritage Blvd Milton DE 19968-2201 Ph: (978) 893-8900 | Coastal Neurology And Wellness Center, Llc 111 Heritage Blvd Milton DE 19968-2201 Ph: (978) 893-8900 |
| NPI Number | 1477423028 |
|---|---|
| Provider Enumeration Date | 11/10/2025 |
| Last Update Date | 11/10/2025 |
| Certification Date | 11/09/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477423028 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
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