| Tara Agwu, | |
| 124 Sleepy Hollow Dr Ste 240, Middletown, DE 19709-5838 | |
| (302) 400-9999 | |
| (302) 600-3578 | 
| Full Name | Tara Agwu | 
|---|---|
| Gender | Female | 
| Speciality | Nurse Practitioner - Family | 
| Location | 124 Sleepy Hollow Dr Ste 240, Middletown, Delaware | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1689487043 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 163WE0003X | Registered Nurse - Emergency | L1-0054564 (Delaware) | Secondary | 
| 363LF0000X | Nurse Practitioner - Family | LG-0013112 (Delaware) | Primary | 
| Entity Name | Nutrihealth Llc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1013547637 PECOS PAC ID: 9537597919 Enrollment ID: O20200318000782 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Tara Agwu, Po Box 67537, Newark, NJ 07101-8009 Ph: (302) 400-9999 | Tara Agwu, 124 Sleepy Hollow Dr Ste 240, Middletown, DE 19709-5838 Ph: (302) 400-9999 | 
| Joyce Nontokozo Mswabuki, AGPCNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1540 E Matisse Dr, Middletown, DE 19709 Phone: 302-559-3666 | |
| Aimee Nacrelli, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 222 Carter Dr, Ste 101, Middletown, DE 19709 Phone: 302-378-5494 Fax: 302-378-1760 | |
| Amber Gonzales, PMHNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 9 Espalier Ln, Middletown, DE 19709 Phone: 443-475-0337 | |
| Tanisha Crockett, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 124 Sleepy Hollow Dr Ste 204, Middletown, DE 19709 Phone: 302-202-3438 Fax: 302-600-3578 | |
| Stellah Bosibori Onsomu,  Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 108 Peachtree Ln, Middletown, DE 19709 Phone: 302-559-8573 Fax: 302-559-8573 | |
| Pamela Achenchi, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 122 Silver Lake Rd, Middletown, DE 19709 Phone: 302-378-5775 | |
| Mrs. Mini Mathew, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 114 Sandhill Dr, Middletown Family Care Associate,suite101, Ketlay Plaza, Middletown, DE 19709 Phone: 302-378-4779 |