| 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 |
| Experience | 1 Years |
| Location | 124 Sleepy Hollow Dr Ste 240, Middletown, Delaware |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| 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 |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Nutrihealth Llc | 9537597919 | 22 |
| 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: May Accept Medicare Assignments Practice Location: 1540 E Matisse Dr, Middletown, DE 19709 Phone: 302-559-3666 | |
Aimee Nacrelli, NP Nurse Practitioner Medicare: Accepting Medicare Assignments 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 | |
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: Medicare Enrolled Practice Location: 114 Sandhill Dr, Middletown Family Care Associate,suite101, Ketlay Plaza, Middletown, DE 19709 Phone: 302-378-4779 | |
Stephanie Lynn Ottaviani, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 108 Patriot Dr Ste A, Middletown, DE 19709 Phone: 302-354-5601 |