Favor Healthcare Practice LLC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

L10024346 Issued in DE

Legal business name

FAVOR HEALTHCARE PRACTICE LLC

Practice address

200 S Dupont Blvd Ste 104
Smyrna, DE 19977-1552

Phone

(302) 423-0568

NPI assigned

Jun 8, 2017

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ihuoma Chuks, APRN-NP-C

Title

Owner

Phone

(302) 363-5769

Specialties & licenses 2

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• William Foncham Ngwa, FNP-PMHNP

  • Family Nurse Practitioner
  • Sicklerville, NJ
  • NPI 1942716444
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1496880000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666137600000",
    "number": "1639608086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 S DUPONT BLVD STE 104",
            "city": "SMYRNA",
            "state": "DE",
            "postal_code": "199771552",
            "telephone_number": "302-423-0568"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 S DUPONT BLVD STE 104",
            "city": "SMYRNA",
            "state": "DE",
            "postal_code": "199771552",
            "telephone_number": "302-423-0568"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAVOR HEALTHCARE PRACTICE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-08",
        "last_updated": "2022-10-19",
        "certification_date": "2022-10-19",
        "status": "A",
        "authorized_official_last_name": "CHUKS",
        "authorized_official_first_name": "IHUOMA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "302-363-5769",
        "authorized_official_credential": "APRN-NP-C"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "DE",
            "license": "L10024346",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI TYPE 1",
            "identifier": "1235417247",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lizbeth Shea Evans, RN
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• Shirin Felizadeh, M.D.
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• Rita Fisher
• Tammy Flood-Stinson, RN

• Family Nurse Practitioner in Smyrna, DE
• Providers in Smyrna, DE by specialty
• Family Nurse Practitioner in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.