PRECISION CARE & WELLNESS, LLC (NPI# 1285191494) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285191494 |
| Entity Type | Organization |
| Organization Name | PRECISION CARE & WELLNESS, LLC |
| Other Organization Name | WILMINGTON 1ST WALK-IN |
| Practice Address |
4001 Miller Rd Ste 1 Wilmington DE 19802-1961 |
| Mailing Address |
4001 Miller Rd Wilmington DE 19802-1961 |
| Practice Telephone | 3024075222 |
| Practice Fax Number | 3024075221 |
| Mailing Telephone | 3024075222 |
| Mailing Fax Number | 3024075221 |
| Enumeration Date | 2019-02-24 |
| Last Update Date | 2020-03-04 |
| Authorized Official Name | TAYLOR ASHLEY ROANE BURGE (CEO) |
| Authorized Official Telephone | 3024075222 |
| Authorized Official Credential | APRN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QP2300X |
Clinic/Center Specialization: Primary Care |
Ambulatory Health Care Facilities | ||
| N | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians | ||
| Y | 261QU0200X |
Clinic/Center Specialization: Urgent Care |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| DE | 1174951081 | 05 | |
| DE | 1629473483 | 05 | |
| DE | 250549932 | 05 |
| Other Name | Type Code |
|---|---|
| Wilmington 1st Walk-In | Doing Business As Name - Organization |
| Street Address |
4001 MILLER RD STE 1 |
| City | WILMINGTON |
| State | DE |
| Zip Code | 19802-1961 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174951081 | Taylor Ashley Roane Burge | Nurse Practitioner | 4001 Miller Rd Ste 1, Wilmington, DE 19802-1961 | 2013-10-31 |
| 1629473483 | Mbwidiffu A Dibal | Nurse Practitioner | 4001 Miller Rd Ste 1, Wilmington, DE 19802-1961 | 2014-10-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457828352 | Allison Porter Nast | Nurse Practitioner | 1624 N Jessup Street, Wilmington, DE 19802 | 2018-10-29 |
| 1851804694 | Laura Jean Cornelis | Nurse Practitioner | 908b East 16th Street, Wilmington, DE 19802 | 2017-11-15 |
| 1477094365 | Jennifer Burris | Nurse Practitioner | 908-b East 16th Street, Wilmington, DE 19802 | 2017-03-13 |
| 1245694694 | Rochelle L Johnson | Counselor | 2005 Baynard Boulevard, Wilmington, DE 19802 | 2016-04-12 |
| 1942674692 | Barbara G Goldsmith | Social Worker | 501 W 37th St, Wilmington, DE 19802 | 2015-11-18 |
| 1942590492 | Olalekan David Falade | Pharmacist | 602 C4 West Lea Blvd, Wilmington, DE 19802 | 2011-04-18 |
| 1598919144 | Trina Brooks Haywood | Registered Nurse | 700 W Lea Blvd Ste 201, Wilmington, DE 19802 | 2008-11-10 |
| 1184808347 | Dr Lesly Robinson Dpm | Podiatrist | 4011 N Market Street, Wilmington, DE 19802 | 2007-12-24 |
| 1366622110 | Overbrook Therapy Associates | Community/Behavioral Health | 1015 West 24th Street, Wilmington, DE 19802 | 2007-11-09 |
| 1215059332 | Everett T Dickerson | Counselor | 620 W 27th St, Wilmington, DE 19802 | 2007-04-06 |
| Find all providers in zip 19802 | ||||
| Taxonomy Code | 261QU0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Urgent Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992230833 | Greater Tomorrow Health, LLC | Clinic/Center | 2107 Rombach Ave, Wilmington, OH 45177-2099 | 2017-04-28 |
| 1629323266 | Fast Care Medical Aid Unit LLC | Clinic/Center | 3005 Governor Printz Blvd, Wilmington, DE 19802-2801 | 2012-07-19 |
| 1235443854 | Fairfax Medical P.a. | Clinic/Center | 2105 Concord Pike, Suite A, Wilmington, DE 19803-2906 | 2010-08-06 |
| 1619209475 | Premier Health Care LLC | Clinic/Center | 2845 Progress Way, Wilmington, OH 45177 | 2010-02-04 |
| 1164692844 | American Current Care of Massachusetts PC | Clinic/Center | 66b Concord Street, Wilmington, MA 01887-2179 | 2008-03-10 |
| 1891282109 | The Nemours Foundation | Clinic/Center | 1600 Rockland Rd, Wilmington, DE 19803-3607 | 2018-04-23 |
| 1750735189 | Beach Care PC | Clinic/Center | 6132 Carolina Beach Rd, Suite 8, Wilmington, NC 28412-2759 | 2016-04-22 |
| 1205262995 | Carolina Care - Urgent Care and Sports Medicine | Clinic/Center | 6832 Market St, Suite A, Wilmington, NC 28405-9723 | 2013-09-25 |
| 1124376496 | Angel Healthcare, LLC | Clinic/Center | 218 E Anaheim St, Wilmington, CA 90744-4516 | 2012-08-17 |
| 1972863611 | Wilmington Urgent Care and Family Clinic Inc | Clinic/Center | 714 N Avalon Blvd, Wilmington, CA 90744-5809 | 2012-05-28 |
| Find all providers in WILMINGTON | ||||
| City | WILMINGTON |
| Zip Code | 19802 |
Please comment or provide details below to improve the information on PRECISION CARE & WELLNESS, LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.