OrganizationActive
Atlantic General Hospital Corporation
NPI 1790503464 · Family Nurse Practitioner · Selbyville, DE
Provider details
- NPI number
- 1790503464
- Entity type
- Organization
- Primary specialty
- Family Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Parent organization
- Atlantic General Hospital Corporation
- Organization subpart
- Yes
- Authorized official
- James Kanuch, Chief Financial Officer(410) 641-9602
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
- Nurse Practitioner363L00000X
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Practice location
38394 Dupont Blvd Ste H
Selbyville, DE 19975-3049
Phone: (302) 524-5007
Fax: (302) 524-5011
Approximate (ZIP-level) locationGet directions
Mailing address
9733 Healthway Dr
Berlin, MD 21811-1156
Other names (DBA / former)
- Doing business as
- Atlantic General Health System
Registry dates
- Enumerated
- 2024-10-01
- Last updated
- 2024-10-01
- Certified
- 2024-10-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.